THE PEDIATRIC SPECIALISTS MEDICAL GROUP, INC. (NPI# 1700964665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700964665 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC SPECIALISTS MEDICAL GROUP, INC. |
| Other Organization Name | PEDIATRIC SPECIALISTS |
| Practice Address |
138 W Branch St Suite A Arroyo Grande CA 93420-2611 |
| Practice Telephone | 8054813166 |
| Practice Fax Number | 8054818237 |
| Mailing Telephone | 8054813166 |
| Mailing Fax Number | 8054818237 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | DR. SUSAN H. HOFFMAN (OWNER) |
| Authorized Official Telephone | 8054813166 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 55326 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0105730 | 05 | |
| CA | BLUE SHIELD | ZZZ50949Y | 01 |
| Other Name | Type Code |
|---|---|
| Pediatric Specialists | Doing Business As Name - Organization |
| Street Address |
138 W BRANCH ST SUITE A |
| City | ARROYO GRANDE |
| State | CA |
| Zip Code | 93420-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in zip 93420 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184972226 | Roberta Joy Hayertz | Pediatrics | 912 Printz Rd, Arroyo Grande, CA 93420-5026 | 2012-08-21 |
| 1760443634 | Evelyn Mary Boyle | Pediatrics | 336 S Halcyon Rd, Arroyo Grande, CA 93420-3818 | 2006-03-30 |
| 1861480212 | The Pediatric Specialist | Pediatrics | 145 Bridge St, Arroyo Grande, CA 93420-3307 | 2005-10-10 |
| 1972508943 | William S. Morgan | Pediatrics | 154 Traffic Way, Arroyo Grande, CA 93420-3341 | 2005-06-16 |
| 1063884252 | Village Pediatrics of Arroyo Grande, Inc. | Pediatrics | 201 Station Way, Arroyo Grande, CA 93420-3370 | 2015-10-27 |
| 1760880223 | Jeffrey Thompson Md | Pediatrics | 260 Station Way, Ste D, Arroyo Grande, CA 93420-3359 | 2014-12-16 |
| 1093133340 | Jillian Renee Davenport | Pediatrics | 260 Station Way, Arroyo Grande, CA 93420-3359 | 2014-04-03 |
| 1518913581 | William S Morgan Md Faap Inc | Pediatrics | 154 Traffic Way, Arroyo Grande, CA 93420-3341 | 2006-05-25 |
| 1578547741 | Jeffrey S. Thompson | Pediatrics | 260 Station Way, Suite D, Arroyo Grande, CA 93420-3359 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | ARROYO GRANDE |
| Zip Code | 93420 |
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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.