DR. MOHAMED FEKRY AL-SADEK (NPI# 1154353829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154353829 |
| Entity Type | Individual |
| Full Name | DR. MOHAMED FEKRY AL-SADEK |
| Credential | M.D. |
| Practice Address |
117 W Bunny Ave Santa Maria CA 93458-2805 |
| Mailing Address |
241 Ocean View Ave Apt. #c Pismo Beach CA 93449-2666 |
| Practice Telephone | 8057393890 |
| Practice Fax Number | 8053477697 |
| Mailing Telephone | 8057736811 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A89182 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A891820 | 05 |
| Street Address |
117 W BUNNY AVE |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496651 | Pacific Central Coast Health Centers | Clinic/Center | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2005-12-06 |
| 1699323386 | Elizabeth Mikus | Nurse Practitioner | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2019-08-27 |
| 1003347808 | Jaime Acosta Berrios | Family Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2017-03-23 |
| 1912301730 | Pacific Central Coast Health Centers | Family Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2014-10-22 |
| 1205141926 | Shelley Anne Wheeler | Dietitian, Registered | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2010-08-18 |
| 1306022132 | Leticia L Burdumy | Registered Nurse | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2008-01-10 |
| 1689854044 | Jeremy John Espino | Physician Assistant | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2007-11-13 |
| 1013949791 | Paul A Lussier | Internal Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| 1811929516 | Joseph Stephen Yorke | Internal Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| 1194757880 | Mark Atarius Sandquist | Family Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1780010603 | Connor Vanderveer Johnson | Internal Medicine | 1400 E Church St., Santa Maria, CA 93454 | 2013-09-24 |
| 1861700981 | Laura Lee Sprague | Internal Medicine | 4332 Manchester Ct, Santa Maria, CA 93455-3502 | 2010-09-23 |
| 1588979371 | Roman Winter | Internal Medicine | 1400 E. Church St., Santa Maria, CA 93454-5906 | 2010-08-17 |
| 1285822015 | Central Coast Family Care Medical Associates, Inc | Internal Medicine | 1505 Shepard Dr Ste 131, Santa Maria, CA 93454-7016 | 2007-10-05 |
| 1609096882 | Central Coast In-patient Consultants, Inc. | Internal Medicine | 1400 East Chruch Street, Santa Maria, CA 93456-5906 | 2007-04-27 |
| 1285732636 | Michael K Kazak | Internal Medicine | 1040 W Main St, Santa Maria, CA 93458 | 2006-09-20 |
| 1356331185 | Rashiklal Patel | Internal Medicine | 1102 East Clark Avenue, Suite 120a, Santa Maria, CA 93455-5175 | 2005-10-24 |
| 1972596963 | Victor Manuel Guerrero | Internal Medicine | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2005-08-25 |
| 1184279606 | New Vision Telemedicine and Medical Consultant, Inc. | Internal Medicine | 830 E Chapel St, Santa Maria, CA 93454-4610 | 2019-08-02 |
| 1346720620 | Giant Sequoia Healthcare Inc. | Internal Medicine | 1400 E Church St, Santa Maria, CA 93454-5906 | 2018-08-16 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
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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.