HEALTHSTAT ON-SITE CLINIC/WESTERN GROWERS (2ND LOCATION) (NPI# 1326479635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326479635 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC/WESTERN GROWERS (2ND LOCATION) |
| Practice Address |
1414 S Miller St Suite P Santa Maria CA 93454-6923 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 8314220230 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1414 S MILLER ST SUITE P |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-6923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920741 | John Charles Moessinger IIi | Optometrist | 1414 S Miller St, Ste 8, Santa Maria, CA 93454-6961 | 2005-05-27 |
| 1841823697 | Kathleen Zubiate | Counselor | 1414 S Miller St, Santa Maria, CA 93454-6923 | 2020-02-20 |
| 1245757434 | Brett Diettinger | Counselor | 1414 S Miller St, Santa Maria, CA 93454-6923 | 2017-08-28 |
| 1972027027 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 1414 S Miller St, Santa Maria, CA 93454-6923 | 2017-07-31 |
| 1255871489 | Lisa Ruiz | Counselor | 1414 S Miller St, Santa Maria, CA 93454-6923 | 2017-03-07 |
| 1881134260 | Nubia Maria Mendoza | Counselor | 1414 S Miller St, Ste 11, Santa Maria, CA 93454-6923 | 2017-03-03 |
| 1639625700 | Terri Houser | Counselor | 1414 S Miller St, Ste 11, Santa Maria, CA 93454-6923 | 2016-08-29 |
| 1104200773 | Coast Valley Worship Center | Clinic/Center | 1414 S Miller St, Ste 10 and 11, Santa Maria, CA 93454-6923 | 2015-07-14 |
| 1841537552 | Yat Yeung Tang, Dds, Inc. | Dentist | 1414 S Miller St, Suite #1, Santa Maria, CA 93454-6923 | 2013-01-15 |
| 1992049514 | Nuevo Viaje Family Community Counseling Center | Counselor | 1414 S Miller St, D, Santa Maria, CA 93454-6923 | 2012-11-20 |
| Find all providers in the same location | ||||
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205110996 | Frank D. Gonzales | Preventive Medicine | 301 E Cook St Ste C, Santa Maria, CA 93454-5133 | 2011-09-29 |
| 1376517292 | Bruce J. Walker | Preventive Medicine | 1145 E Clark Ave Ste I, Santa Maria, CA 93455-5171 | 2006-02-15 |
| 1003464447 | Healthstat Wellness, Inc County of Santa Barbra Santa Maria | Preventive Medicine | 500 W Foster Rd, Santa Maria, CA 93455-3620 | 2019-08-29 |
| 1497012678 | Healthstat Wellness Wg Santa Maria | Preventive Medicine | 1414 S Miller St, Suite 3, Santa Maria, CA 93454-6923 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911665 | Healthstat Wellness Sutter County | Preventive Medicine | 1215 Plumas St Ste 1300a, Yuba City, CA 95991-3400 | 2020-01-20 |
| 1194373530 | Healthstat Wellness County of Santa Barbara Headquarters | Preventive Medicine | 427 Camino Del Remedio Bldg G, Santa Barbara, CA 93110-1310 | 2019-08-29 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1750872255 | Universal Occupational Medicine PC | Preventive Medicine | 8303 Brimhall Rd Bldg 1500, Bakersfield, CA 93312-2243 | 2018-05-21 |
| 1831694272 | Healthstat Wellness County Sb Headquarters | Preventive Medicine | 2500 Broadway Ste 400, Santa Monica, CA 90404-3176 | 2018-03-28 |
| 1326548363 | Paul Manchester | Preventive Medicine | 11159 Corte Pleno Verano, San Diego, CA 92130-2688 | 2018-02-16 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1285145383 | Brett V. Curtis M.d. & Associates, A Professional Corporation | Preventive Medicine | 7428 Redwood Blvd Ste 100, Novato, CA 94945-2418 | 2017-10-16 |
| 1104355783 | Susan Bradshaw | Preventive Medicine | 6320 W Howard Drollinger Way Ste 203, Los Angeles, CA 90045-3627 | 2017-06-07 |
| 1386097806 | Healthstat Wellness Bac Madera | Preventive Medicine | 15341 Road 28 1/2, Madera, CA 93638-2325 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on HEALTHSTAT ON-SITE CLINIC/WESTERN GROWERS (2ND LOCATION).
| 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.