MEDSTOPS MEDICAL CLINIC, INC. (NPI# 1295718849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295718849 |
| Entity Type | Organization |
| Organization Name | MEDSTOPS MEDICAL CLINIC, INC. |
| Practice Address |
283 Madonna Rd Suite B San Luis Obispo CA 93405-5432 |
| Practice Telephone | 8055498880 |
| Practice Fax Number | 8057832009 |
| Mailing Telephone | 8055498880 |
| Mailing Fax Number | 8057832009 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | DR. BRIAN M. ROBERTS (OWNER) |
| Authorized Official Telephone | 8055498880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
22211568 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| USDL/ACS | 184356300 | 01 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ00436Z | 01 |
| AETNA | 5482188 | 01 |
| Street Address |
283 MADONNA RD SUITE B |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497738140 | Tillman E. Dodd Jr. | Emergency Medicine | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2005-11-28 |
| 1114351814 | Teah Kerr Nash | Physician Assistant | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2013-08-29 |
| 1508064593 | Katherine Jane Berman | Physician Assistant | 283 Madonna Rd, San Luis Obispo, CA 93405-5432 | 2007-07-11 |
| 1598889735 | Gary Scott Cooper | Physician Assistant | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2007-03-16 |
| 1073558748 | Jacqualine J. Dancy | Physician Assistant | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2006-06-18 |
| 1235112988 | Brian M. Roberts | Emergency Medicine | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
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| 1023497195 | Briana Porter | Clinic/Center | 14102 S. Hillford Ave, Compton, CA 90222 | 2015-05-22 |
| 1790193472 | Rosette Adegbe | Clinic/Center | 1084 Flager Ranch Rd, Corona, CA 92881-4730 | 2014-07-26 |
| 1083057251 | Mark Steven Falcone | Clinic/Center | 2 S Alta Mira Rd, Laguna Beach, CA 92651-6712 | 2013-04-08 |
| 1760758718 | Sutton Chen | Clinic/Center | 7866 Roseland Dr, La Jolla, CA 92037-4016 | 2012-03-23 |
| 1669778965 | Partners Urgent Care-eastlake | Clinic/Center | 2315 Otay Lakes Rd, Chula Vista, CA 91915-1162 | 2011-02-03 |
| 1104061043 | Lawrence Knapp | Clinic/Center | 20 Oak Ln, Corte Madera, CA 94925-1326 | 2008-12-05 |
| 1801973052 | Surprise Valley Health Care District | Clinic/Center | 741 Main & Washington, Cedarville, CA 96104-0246 | 2006-11-01 |
| 1245863190 | Wce Ca Ecc, Inc. | Clinic/Center | 3711 Long Beach Blvd Ste 700, Long Beach, CA 90807-3353 | 2020-02-19 |
| 1639668742 | David M Lucero Md Inc. | Clinic/Center | 1219 Larchwood Dr, Oceanside, CA 92056-6407 | 2018-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
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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.