PATRICK JACKSON SPALDING (NPI# 1659454221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659454221 |
| Entity Type | Individual |
| Full Name | PATRICK JACKSON SPALDING |
| Credential | MD |
| Practice Address |
2 James Way Suite 106 Pismo Beach CA 93449-4973 |
| Practice Telephone | 8057733060 |
| Practice Fax Number | 8052690026 |
| Mailing Telephone | 8057733060 |
| Mailing Fax Number | 8052690026 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G83816 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G838160 | 05 |
| Street Address |
2 JAMES WAY SUITE 106 |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769929 | Joseph A. Cruz | Family Medicine | 2 James Way, Suite 209, Pismo Beach, CA 93449-4973 | 2005-06-13 |
| 1538618590 | Pacific Central Coast Health Centers | Clinic/Center | 2 James Way, Suite 209, Pismo Beach, CA 93449-4973 | 2016-09-30 |
| 1316323447 | Kendra Joelle Weichbrodt | Nurse Practitioner | 2 James Way, Pismo Beach, CA 93449 | 2015-07-30 |
| 1053742528 | Coastal Village Primary Care, A Medical Group | Family Medicine | 2 James Way, Ste 209, Pismo Beach, CA 93449-4976 | 2013-12-09 |
| 1396080511 | Coastal Village Primary, Inc | Family Medicine | 2 James Way, Suite 209, Pismo Beach, CA 93449-4973 | 2012-11-28 |
| 1386992048 | Kelly C Jenei | Nurse Practitioner | 2 James Way, 209, Pismo Beach, CA 93449-4973 | 2012-08-28 |
| 1508131376 | Irma Perez Martinez Dmd Ms Inc | Dentist | 2 James Way, Suite 201, Pismo Beach, CA 93449-4973 | 2012-03-13 |
| 1477858868 | Giancarlo A. Lauriente, Dds, Inc. | Dentist | 2 James Way, Suite 201, Pismo Beach, CA 93449-4973 | 2011-01-17 |
| 1235462532 | Irma Del Carmen Perez Martinez | Dentist | 2 James Way, Suite 201, Pismo Beach, CA 93449-4973 | 2009-09-17 |
| 1336319698 | Coastal Podiatry Clinic | Podiatrist | 2 James Way, Suite 205, Pismo Beach, CA 93449-4973 | 2008-03-03 |
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| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023168440 | Randall H. Safarik | Obstetrics & Gynecology | 921 Oak Park Blvd Ste 203, Pismo Beach, CA 93449-3400 | 2007-01-10 |
| 1699129528 | Zachary Thomas Spalding | Obstetrics & Gynecology | 2 James Way Ste 106, Pismo Beach, CA 93449-4974 | 2016-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
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| City | PISMO BEACH |
| Zip Code | 93449 |
Please comment or provide details below to improve the information on PATRICK JACKSON SPALDING.
| 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.