Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1150 Main Street Inc

Organization Family Medicine Physician · NPI 1912347261

1150 Main Street Inc is a Family Medicine Physician in Watsonville, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1150 Main St Ste 3
Watsonville, CA 95076-3760
Phone: (831) 728-0551
Fax: (831) 728-3679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G56281 (CA)

Record details

NPI number1912347261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley Dickinson — Manager · (831) 728-0551
NPI enumeratedJuly 1, 2013
Last updated in NPPESJuly 1, 2013
Mailing address1150 Main St Ste 3, Watsonville, CA 95076-3760

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