DR. MICHAEL S HAVERTY (NPI# 1235114729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235114729 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S HAVERTY |
| Credential | MD |
| Practice Address |
2342 Professional Pkwy Suite 260 Santa Maria CA 93455-1629 |
| Practice Telephone | 8053483910 |
| Practice Fax Number | 8053483901 |
| Mailing Telephone | 8053483910 |
| Mailing Fax Number | 8053483901 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2014-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G53646 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD PIN | 00G536460 | 01 |
| CA | BLUE CROSS | G53646 | 01 |
| Street Address |
2342 PROFESSIONAL PKWY SUITE 260 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417752 | Ryan Allen | Family Medicine | 2342 Professional Pkwy, Suite 260, Santa Maria, CA 93455-1629 | 2005-12-07 |
| 1346863826 | Betsy Limon Garcia | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2020-05-19 |
| 1982257549 | Valerie Moreno | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2019-07-22 |
| 1669938213 | Kristina Garcia | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2019-02-19 |
| 1821554528 | Jennifer Viduya | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2019-02-18 |
| 1942775630 | Rachel Olivas | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2018-10-09 |
| 1649745464 | Maria Carver | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2018-10-08 |
| 1679048490 | Julieanne Mcguire | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2018-10-08 |
| 1023583846 | Kristin Ouimette | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2018-10-08 |
| 1073088894 | Mallory Evangelista | Behavior Technician | 2342 Professional Pkwy, Santa Maria, CA 93455-1630 | 2018-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619357092 | Rachel Zonca | Family Medicine | 915 E Stowell Rd Ste C, Santa Maria, CA 93454-7010 | 2015-06-01 |
| 1033522404 | Farnaz Pirayesh | Family Medicine | 5075 S Bradley Rd Ste 131, Santa Maria, CA 93455-5077 | 2014-06-03 |
| 1538402813 | Eric G. Levy Medical Corporation | Family Medicine | 525 East Plaza Dr., Suite 300, Santa Maria, CA 93454-6955 | 2013-04-04 |
| 1235365891 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 821 E Chapel St Ste 103, Santa Maria, CA 93454-4618 | 2009-06-09 |
| 1750558219 | Coast Family Practice | Family Medicine | 607 E Plaza Dr Ste C-201, Santa Maria, CA 93454-6944 | 2008-05-14 |
| 1215125042 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 915 E Stowell Rd Ste B, Santa Maria, CA 93454-7010 | 2007-10-05 |
| 1194913921 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 220 S Palisade Dr Ste 104b, Santa Maria, CA 93454-5931 | 2007-10-05 |
| 1679791578 | Diana Garza Garcia | Family Medicine | 117 West Bunny Ave, Santa Maria, CA 93458-2805 | 2007-04-23 |
| 1629292958 | Karen R. Moyes | Family Medicine | 5121 Depot St, Santa Maria, CA 93454-9652 | 2007-04-11 |
| 1962625673 | Tirso Bustamante | Family Medicine | 938 E Main St, Santa Maria, CA 93454-5331 | 2007-04-11 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
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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.