SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC (NPI# 1063735421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063735421 |
| Entity Type | Organization |
| Organization Name | SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC |
| Practice Address |
525 E Plaza Dr 307 Santa Maria CA 93454-6953 |
| Practice Telephone | 8059226581 |
| Practice Fax Number | 8056146055 |
| Mailing Telephone | 8059226581 |
| Mailing Fax Number | 8056146055 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Authorized Official Name | PAMELA C CORDERO (OFFICE MANAGER) |
| Authorized Official Telephone | 8059226581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A67917 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689997090 | Santa Maria Gastroenterology Medical Group Inc | Internal Medicine | 525 E Plaza Dr, 307, Santa Maria, CA 93454-6953 | 2010-03-12 |
| Street Address |
525 E PLAZA DR 307 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-6953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779021 | Eric G. Levy | Family Medicine | 525 E Plaza Dr, Suite 300, Santa Maria, CA 93454-6953 | 2005-12-01 |
| 1689997090 | Santa Maria Gastroenterology Medical Group Inc | Internal Medicine | 525 E Plaza Dr, 307, Santa Maria, CA 93454-6953 | 2010-03-12 |
| 1124267141 | Priscilla Mcgee | Physician Assistant | 525 E Plaza Dr, Suite 300, Santa Maria, CA 93454-6953 | 2009-02-14 |
| 1386844892 | Atul B. Vachhani, M.d., Inc. | Internal Medicine | 525 E Plaza Dr, 307, Santa Maria, CA 93454-6953 | 2007-07-23 |
| 1316147820 | Thomas P. Hsia, M.d., Inc. | Internal Medicine | 525 E Plaza Dr, 307, Santa Maria, CA 93454-6953 | 2007-07-23 |
| 1609890748 | Atul B Vachhani | Internal Medicine | 525 E Plaza Dr, #307, Santa Maria, CA 93454-6955 | 2006-07-26 |
| 1750360889 | Michael William Moats | Dermatology | 525 E Plaza Dr, Suite #200, Santa Maria, CA 93454-6953 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437359734 | Bruce F. Mize, M.d., Inc. | Internal Medicine | 116 S Palisade Dr Ste 306, Santa Maria, CA 93454-8906 | 2007-07-24 |
| 1194936625 | Robert Evans | Internal Medicine | 116 S. Palisade Drive, Suite 306, Santa Maria, CA 93454 | 2007-05-25 |
| 1730214602 | Pj Benipal Md Inc | Internal Medicine | 116 S Palisade Dr Ste 210, Santa Maria, CA 93454-8906 | 2007-02-22 |
| 1508894486 | Thomas P Hsia | Internal Medicine | 525 E Plaza, #307, Santa Maria, CA 93454-6955 | 2006-06-29 |
| 1134195977 | Eric William Jahnke | Internal Medicine | 1311 S Miller St, Suite 101, Santa Maria, CA 93454-6900 | 2006-02-23 |
| 1689997090 | Santa Maria Gastroenterology Medical Group Inc | Internal Medicine | 525 E Plaza Dr, 307, Santa Maria, CA 93454-6953 | 2010-03-12 |
| 1386971687 | Santa Maria Gastroenterology Medical Group Inc. | Internal Medicine | 1311 S Miller St, 100, Santa Maria, CA 93454-6900 | 2009-11-06 |
| 1891974044 | Eric W. Jahnke Md Inc | Internal Medicine | 1311 S Miller St, Suite 101, Santa Maria, CA 93454-6900 | 2007-10-24 |
| 1386844892 | Atul B. Vachhani, M.d., Inc. | Internal Medicine | 525 E Plaza Dr, 307, Santa Maria, CA 93454-6953 | 2007-07-23 |
| 1316147820 | Thomas P. Hsia, M.d., Inc. | Internal Medicine | 525 E Plaza Dr, 307, Santa Maria, CA 93454-6953 | 2007-07-23 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.