DOCTORS MEDPLUS MEDICAL CENTER (NPI# 1316173974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316173974 |
| Entity Type | Organization |
| Organization Name | DOCTORS MEDPLUS MEDICAL CENTER |
| Practice Address |
877 Oak Park Blvd Pismo Beach CA 93449-3292 |
| Mailing Address |
5810 Nancy Ridge Dr 100 San Diego CA 92121-2834 |
| Practice Telephone | 8054748450 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G29852 | CA | Suppliers |
| Street Address |
877 OAK PARK BLVD |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-3292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043201114 | Tina Marie Loayza | Nurse Practitioner | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2005-10-28 |
| 1831544311 | Pacific Central Coast Health Centers | Clinic/Center | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2016-05-03 |
| 1265850630 | Stephanie Madalyn Yoder | Nurse Practitioner | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2014-04-02 |
| 1821343757 | Jennifer Arlene Rocha | Physician Assistant | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2012-07-17 |
| 1124355441 | Daniel William Cable | Physician Assistant | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2009-11-06 |
| 1689804478 | Linda Bjornson | Nurse Practitioner | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2009-07-15 |
| 1356551220 | Shauna Lynch | Family Medicine | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2007-05-22 |
| 1669534236 | Cu Q Nguyen | Internal Medicine | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2006-12-13 |
| 1104839968 | Carolyn Jolly | Nurse Practitioner | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2006-08-14 |
| 1760413074 | Amanda Zoe Marie Dillen | Family Medicine | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
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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.