1150 Main Street Inc
NPI 1912347261ActiveOrganization· Family Medicine· Watsonville, CA
Family Medicine in Watsonville, California, registered in NPPES in July 2013. The authorized official on file is Shirley L. Dickinson, M.D., Manager.
Overview
| NPI | 1912347261 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2013 |
| Last updated in NPPES | Jul 1, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | G56281 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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