DR. PHILLIP BRADLEY PLOTZ (NPI# 1992753842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992753842 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP BRADLEY PLOTZ |
| Credential | M.D. |
| Practice Address |
699 W Tefft St Suite A Nipomo CA 93444-9289 |
| Mailing Address |
3400 Data Dr 1st Rancho Cordova CA 95670-7956 |
| Practice Telephone | 8059309995 |
| Practice Fax Number | 8059295771 |
| Mailing Telephone | 9163792726 |
| Mailing Fax Number | 9168537874 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A063826 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 049327 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1174556286 | 05 |
| Street Address |
699 W TEFFT ST SUITE A |
| City | NIPOMO |
| State | CA |
| Zip Code | 93444-9289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655617 | Valerie Jenine Reilly | Physician Assistant | 699 W Tefft St, Suite A, Nipomo, CA 93444-9289 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1679109995 | Community Health Clinical Laboratory LLC | Clinical Medical Laboratory | 150 Tejas Place, Bldg. B Suite A, Nipomo, CA 93444 | 2020-03-18 |
| 1134500770 | Dena Lou Smith | Surgery | 615 Black Ridge Lane, Nipomo, CA 93444 | 2015-06-09 |
| 1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
| 1619393220 | Anka Behavioral Health Inc. | Community/Behavioral Health | 340 Pablo Ln, Nipomo, CA 93444 | 2014-03-07 |
| 1417382052 | Hannah Song Evans | Counselor | 117 E. Knotts St., Nipomo, CA 93444 | 2013-09-12 |
| 1457615817 | Haylie Jenna Pennachio | Counselor | 508 Angelina Court, Nipomo, CA 93444 | 2012-06-30 |
| 1144513557 | Owen Charles Martin | Counselor | 860 Camino Caballo, Nipomo, CA 93444 | 2011-05-18 |
| 1124273701 | Tanya Susan Mccaffrey | Specialist | 255 North Willson, Suite C, Nipomo, CA 93444 | 2008-11-24 |
| 1548431117 | Andrew J Young | Dentist | 255 North Wilson St, Suite D, Nipomo, CA 93444 | 2008-03-21 |
| Find all providers in zip 93444 | ||||
| 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 |
|---|---|---|---|---|
| 1447267257 | Anthony Aron | Family Medicine | 699 W Tefft St Ste A, Nipomo, CA 93444-9288 | 2006-08-02 |
| 1861805848 | Jennifer Roberts-kelly | Family Medicine | 697 W Tefft St, Nipomo, CA 93444-9190 | 2014-06-06 |
| 1932402476 | Maryam K. Tabrizi | Family Medicine | 699 W Tefft St Ste A, Nipomo, CA 93444 | 2010-12-06 |
| 1528297710 | Natalia V Schwartz | Family Medicine | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2009-07-08 |
| 1245494475 | Serra Paxton Tranmer | Family Medicine | 699 W Tefft St Ste A, Nipomo, CA 93444 | 2008-07-16 |
| 1497811194 | Robert Steven Firestone | Family Medicine | 697 West Tefft, Nipomo, CA 93444-8988 | 2006-12-28 |
| 1609896760 | Denise E Taylor | Family Medicine | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2006-07-20 |
| 1295750511 | Susan Pido | Family Medicine | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2006-07-13 |
| 1912932393 | Romeo S Ortiz | Family Medicine | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2006-07-12 |
| 1750314209 | Vartan Tachdjian | Family Medicine | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2006-07-08 |
| Find all providers in NIPOMO | ||||
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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.