CUESTA MEDICAL GROUP INC (NPI# 1619227675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619227675 |
| Entity Type | Organization |
| Organization Name | CUESTA MEDICAL GROUP INC |
| Practice Address |
171 N Santa Rosa St San Luis Obispo CA 93405-1328 |
| Mailing Address |
1555 Higuera Street San Luis Obispo CA 93401-2917 |
| Practice Telephone | 8055434043 |
| Practice Fax Number | 8055434427 |
| Mailing Telephone | 8055434043 |
| Mailing Fax Number | 8055434427 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | BARBARA M LANDIS (CONTRACTS MANAGER) |
| Authorized Official Telephone | 8055471255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians |
| Street Address |
171 N SANTA ROSA ST |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053700641 | Pacific Central Coast Health Centers | Clinic/Center | 171 N Santa Rosa St, San Luis Obispo, CA 93405-1328 | 2015-01-20 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033586714 | Kevin Parzych, A Medical Corporation | Family Medicine | 4311 Larkspur St, San Luis Obispo, CA 93401-7839 | 2015-08-28 |
| 1245542224 | Margaret B Greenough | Family Medicine | 4460 Broad St Ste A, San Luis Obispo, CA 93401 | 2010-07-08 |
| 1750547550 | Seven Peaks Medical Group, Inc. | Family Medicine | 3889 Long St Ste 201, San Luis Obispo, CA 93401-7581 | 2008-07-31 |
| 1003001132 | Michael Angelo Viggianelli | Family Medicine | Hwy 1 California Mens Colony, San Luis Obispo, CA 93409-0001 | 2007-09-11 |
| 1962558205 | Brian Michael Rees | Family Medicine | California Mens Colony, Highway 1, San Luis Obispo, CA 93409-0001 | 2007-01-27 |
| 1497817993 | Kevin Kenneth Parzych | Family Medicine | 1234 Laurel Ln, San Luis Obispo, CA 93401-5860 | 2006-12-14 |
| 1215015953 | Geoffrey L Kamen | Family Medicine | 1787 Oceanaire Ct, San Luis Obispo, CA 93405-6832 | 2006-11-01 |
| 1154419117 | Lisa Brazil | Family Medicine | 35 Casa St Ste 320, San Luis Obispo, CA 93405 | 2006-10-11 |
| 1710924378 | Kyle C Weber | Family Medicine | 283 Madonna Rd Ste B, San Luis Obispo, CA 93405-5432 | 2006-06-01 |
| 1447207535 | Cmg Medical Group Inc | Family Medicine | 1555 Higuera St, San Luis Obispo, CA 93401-2917 | 2006-05-27 |
| Find all providers in SAN LUIS OBISPO | ||||
| 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.