SHARON PEACH CORPORATION (NPI# 1386058030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386058030 |
| Entity Type | Organization |
| Organization Name | SHARON PEACH CORPORATION |
| Practice Address |
345 S Halcyon Rd Arroyo Grande CA 93420-3817 |
| Mailing Address |
Po Box 6406 Santa Maria CA 93456-6406 |
| Practice Telephone | 8059281731 |
| Practice Fax Number | 8053498160 |
| Mailing Telephone | 8059281731 |
| Mailing Fax Number | 8053498160 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| Authorized Official Name | DR. SHARON PEACH (PRESIDENT) |
| Authorized Official Telephone | 8059281731 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C53730 | CA | Other Service Providers |
| Street Address |
345 S HALCYON RD |
| City | ARROYO GRANDE |
| State | CA |
| Zip Code | 93420-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640470 | Andrew D Sun | Anesthesiology | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3896 | 2005-09-23 |
| 1558983510 | Elizabeth Henrichs | Occupational Therapist | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2020-05-13 |
| 1023630514 | Excellence In Rehabilitation Medical Group Inc | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3899 | 2020-05-07 |
| 1881257608 | Angel Charissa Evans | Social Worker | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2019-04-17 |
| 1306334719 | Knd Development 59, LLC | Hospitalist | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2018-05-01 |
| 1871039909 | Stephanie Pulikkottil Joseph M.d. Medical Corporation | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2017-01-12 |
| 1427409929 | Larry Foreman, Do | Emergency Medicine | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2016-06-27 |
| 1619395720 | Wellness & Rehabilitation Medicine, Inc. | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2014-04-04 |
| 1164868873 | Brent Michael Pennelly | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420 | 2013-05-21 |
| 1942540497 | Affiliated Pathologists of The Central Coast | Pathology | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2013-02-20 |
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|---|---|---|---|---|
| 1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
| 1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
| 1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
| 1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
| 1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
| 1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
| 1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
| 1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982147633 | Margaret Josephine Milos | Specialist | 2828 Doty Dr, Arroyo Grande, CA 93420-5334 | 2016-11-29 |
| 1245594688 | James Edward Olivas Jr. | Specialist | 1856 Bee Canyon Rd, Arroyo Grande, CA 93420-4965 | 2012-06-29 |
| 1780965301 | Cherri Neal | Specialist | 1003 Meadow Way, Arroyo Grande, CA 93420-1807 | 2011-09-09 |
| 1417937541 | James Richard Kunkel | Specialist | 880 Oak Park Blvd, Suite 103, Arroyo Grande, CA 93420 | 2006-01-17 |
| 1700279536 | Agpt, Inc | Specialist | 117 S Halcyon Rd, Arroyo Grande, CA 93420-3115 | 2015-03-18 |
| 1619127693 | Coastal Cardiology A Medical Corp | Specialist | 345 S Halcyon Rd, Arroyo Grande, CA 93420 | 2008-09-25 |
| 1124108071 | Suzanne Adele Sealey | Specialist | 880 Oak Park Blvd, Suite 202, Arroyo Grande, CA 93420-1821 | 2006-10-16 |
| 1679661896 | James R Kunkel,m.d.,inc | Specialist | 880 Oak Park Blvd, Suite #103, Arroyo Grande, CA 93420-1821 | 2006-10-11 |
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| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
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| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | ARROYO GRANDE |
| Zip Code | 93420 |
Please comment or provide details below to improve the information on SHARON PEACH CORPORATION.
| 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.