STEVEN C PONTIUS


Address: 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401
Phone: 8057828844

STEVEN C PONTIUS (NPI# 1750360350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750360350
Entity Type Individual
Full Name STEVEN C PONTIUS
Credential M.D., F.A.C.C.
Practice Address 1941 Johnson Ave
Ste 101
San Luis Obispo
CA 93401
Practice Telephone 8057828844
Practice Fax Number 8057828859
Mailing Telephone 8057828844
Mailing Fax Number 8057828859
Enumeration Date 2006-01-11
Last Update Date 2013-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 31700218 CA Other Service Providers
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
G23388 CA Allopathic & Osteopathic Physicians
N 207UN0901X Nuclear Medicine
Specialization: Nuclear Cardiology
G23388 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD ZZZ24859Z 01
CA 00G233880 05
CA RAILROAD MEDICARE 060007756 01

Office Location

Street Address 1941 JOHNSON AVE
STE 101
City SAN LUIS OBISPO
State CA
Zip Code 93401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942204375 Gary L. Harkins Internal Medicine 1941 Johnson Ave, Ste 201, San Luis Obispo, CA 93401-4169 2005-06-13
1689024259 Pacific Central Coast Health Centers Clinic/Center 1941 Johnson Ave, Suite 105b, San Luis Obispo, CA 93401-4140 2016-06-15
1760896104 Pacific Central Coast Health Centers Clinic/Center 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401-4140 2014-06-13
1033544341 Danae M Wilke Physician Assistant 1941 Johnson Ave, 101, San Luis Obispo, CA 93401-4140 2013-09-05
1316229289 Pacific Central Coast Health Centers Clinic/Center 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401-4140 2011-09-15
1679750574 Armin J Bandari Internal Medicine 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 2008-01-23
1215138789 Andrea Hardison Tackett Internal Medicine 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 2007-05-30
1689792327 Christopher Paul Porterfield Internal Medicine 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 2007-03-27
1699821959 Lisa Michelle Winick Advanced Practice Midwife 1941 Johnson Ave, Suite 202, San Luis Obispo, CA 93401-4140 2007-01-26
1952496556 Richard S Marks Physician Assistant 1941 Johnson Ave, San Luis Obispo, CA 93401-4140 2006-10-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
Find all providers in zip 93401

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962664888 Coastal Cardiology A Medical Corp Internal Medicine 1941 Johnson Ave Ste 102, San Luis Obispo, CA 93401-4154 2008-07-01
1508960527 Joel A Lardizabal Internal Medicine 35 Casa St Ste 340, San Luis Obispo, CA 93405-1894 2006-09-11
1184643629 Kenneth Stevens Internal Medicine 3231 S Higuera St, San Luis Obispo, CA 93401-6924 2006-07-18
1770543373 Mark C Bocchicchio Internal Medicine 1941 Johnson Ave Ste 101, San Luis Obispo, CA 93401-4154 2006-03-27
1407122823 Jennifer Anne Springer Internal Medicine 1941 Johnson Ave Ste 101, San Luis Obispo, CA 93401 2012-03-29
1265606081 Kenneth Stevens Md Inc A Medical Corporation Internal Medicine 3231 S Higuera St, San Luis Obispo, CA 93401-6924 2008-04-14
1679750574 Armin J Bandari Internal Medicine 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 2008-01-23
1396924189 Kenneth P Tway Internal Medicine 1106 Pacific St, San Luis Obispo, CA 93401-3302 2007-10-29
1215138789 Andrea Hardison Tackett Internal Medicine 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 2007-05-30
1689792327 Christopher Paul Porterfield Internal Medicine 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 2007-03-27
Find all providers in SAN LUIS OBISPO

Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

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.

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