CAPITOLA PEDIATRICS NPI 1811012545

NPI Information

  • NPI: 1811012545
  • Provider Name: CAPITOLA PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: CAPITOLA PEDIATRICS
  • Address: 4145 CLARES STREET
    SUITE A
    CAPITOLA, CA
    ZIP 95010
  • Phone: (831) 476-1933

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NPI Details

CAPITOLA PEDIATRICS is a pediatrics in Capitola, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CAPITOLA PEDIATRICS NPI is 1811012545. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capitola Pediatrics.

The provider's business location address is:

4145 CLARES STREET
SUITE A
CAPITOLA, CA
ZIP 95010
Phone: (831) 476-1933
Fax: (831) 476-2677

The provider's authorized official is Elizabeth Baskerville .
The authorized official title is Owner/pediatrician and has the following contact phone number (831) 475-1883.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0099151MEDICAIDCALIFORNIA
2ZZZ08020ZOTHERCALIFORNIABLUE SHIELD ID#-CAP OFFIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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