Rostislav Davydov (NPI# 1164751863, PAC ID# 2567604770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1164751863 |
| PAC ID by PECOS | 2567604770 |
| Professional Enrollment ID | I20180124002571 |
| Full Name | Rostislav Davydov |
| Organization Legal Name | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. |
| Address |
430 S Blosser Rd Santa Maria CA 93458-4908 |
| Phone Number | 8053618400 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7416868120 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330233 | BROOKDALE HOSPITAL MEDICAL CENTER |
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 8053618400 | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. |
| Organization Legal Name | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed Abdelaziz | Obstetrics/gynecology | Community Health Centers of The Central Coast, Inc. | 1418 E Main St, Suite 210, Santa Maria, CA 93454-4836 |
| Patrick Welch | Family Medicine | Community Health Centers of The Central Coast, Inc. | 1057 E Grand Ave, Arroyo Grande, CA 93420-2504 |
| James M Mcghee | Pediatric Medicine | Community Health Centers of The Central Coast, Inc. | 325 Posada Ln, Templeton, CA 93465-4003 |
| Robert Andrew Pull | Chiropractic | Community Health Centers of The Central Coast, Inc. | 77 Casa St, 201 202, San Luis Obispo, CA 93405-5803 |
| Ethan Roy Etnyre | Family Medicine | Community Health Centers of The Central Coast, Inc. | 1205 E Grand Ave, Suite H, Arroyo Grande, CA 93420-2419 |
| Christina A Pinto | Family Practice | Community Health Centers of The Central Coast, Inc. | 77 Casa, San Luis Obispo, CA 93405-5803 |
| Philip F Wichmann | Internal Medicine | Community Health Centers of The Central Coast, Inc. | 7512 Morro Rd, Atascadero, CA 93422-4404 |
| Laura J Herzberg | Pediatric Medicine | Community Health Centers of The Central Coast, Inc. | 2801 Santa Maria Way, Santa Maria, CA 93455-2118 |
| Bala K Bhat | Internal Medicine | Community Health Centers of The Central Coast, Inc. | 260 Station Way, Arroyo Grande, CA 93420-3359 |
| George Cury | Family Medicine | Community Health Centers of The Central Coast, Inc. | 150 Tejas Pl, Nipomo, CA 93444-9123 |
| Street Address |
430 S BLOSSER RD |
| City | SANTA MARIA |
| State | CA |
| Zip | 93458-4908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lilia Tovar | Family Practice | Community Health Centers of The Central Coast, Inc. | 430 S Blosser Rd, Santa Maria, CA 93458-4908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca I Valverde | Nurse Practitioner | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| Thomas Albert Caruso | General Practice | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| David Mizes | Family Medicine | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| Diana G Garcia | Family Medicine | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| Charles Marston Sturgeon Iii | Internal Medicine | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| Nicholas A King | Orthopedic Surgery | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| Melvin A Lopez | Family Medicine | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| James W Lawler | Orthopedic Surgery | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| Mark Ford Pomerantz | General Practice | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| Nancy K Greenman | Physician Assistant | Pacific Central Coast Health Centers | 117 W Bunny Ave, Santa Maria, CA 93458-2805 |
| Find all physicians in zip 93458 | |||
| City | SANTA MARIA |
| Zip Code | 93458 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SANTA MARIA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Rostislav Davydov.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.