AMANDA PONTIS (NPI# 1376972646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376972646 |
| Entity Type | Individual |
| Full Name | AMANDA PONTIS |
| Other Name | AMANDA J PONTIS |
| Practice Address |
201 S Miller St Suite 108 Santa Maria CA 93454-5233 |
| Practice Telephone | 8059259811 |
| Mailing Telephone | 8059259811 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
201 S MILLER ST SUITE 108 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-5233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811940935 | Coast Family Practice | General Practice | 201 S Miller St, Suite 103, Santa Maria, CA 93454-5248 | 2006-05-18 |
| 1457725723 | Francis Peter Lagattuta II | Counselor | 201 S Miller St, Santa Maria, CA 93454-5233 | 2015-11-24 |
| 1407232465 | Ursula Escalante | Community/Behavioral Health | 201 S Miller St, Suite 108, Santa Maria, CA 93454-5233 | 2015-07-31 |
| 1952705782 | Richard Romero | Counselor | 201 S Miller St, Suite 108, Santa Maria, CA 93454-5233 | 2014-10-22 |
| 1295010858 | Reuben Rodriguez | Counselor | 201 S Miller St, Suite #101 & 102, Santa Maria, CA 93454-5233 | 2011-10-14 |
| 1871882506 | David Lee Martin | Counselor | 201 S Miller St, Santa Maria, CA 93454-5233 | 2011-04-04 |
| 1649572959 | Brittany M Brown | Case Manager/Care Coordinator | 201 S Miller St, 104, Santa Maria, CA 93454-5233 | 2010-11-19 |
| 1407163769 | Vincent Montes | Case Manager/Care Coordinator | 201 S Miller St, 104, Santa Maria, CA 93454-5233 | 2010-09-08 |
| 1790098366 | Sheri Kastrava | Case Manager/Care Coordinator | 201 S Miller St, 104, Santa Maria, CA 93454-5233 | 2010-07-23 |
| 1093043960 | Michael James Scarpiello | Registered Nurse | 201 S Miller St, 104, Santa Maria, CA 93454-5233 | 2009-12-03 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1164873253 | Irecovery Behavioral Health Clinic, LLC | Clinic/Center | 607 Plaza Dr, Suite C-102, Santa Maria, CA 93454-6944 | 2016-06-29 |
| 1104200773 | Coast Valley Worship Center | Clinic/Center | 1414 S Miller St, Ste 10 and 11, Santa Maria, CA 93454-6923 | 2015-07-14 |
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| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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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.