Laura J Theis (NPI# 1417954017, PAC ID# 3870527146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417954017 |
| PAC ID by PECOS | 3870527146 |
| Professional Enrollment ID | I20050926000808 |
| Full Name | Laura J Theis |
| Organization Legal Name | CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA INC |
| Address |
220 S Palisade Dr 104b Santa Maria CA 93454-5931 |
| Phone Number | 8059252521 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719967801 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 220 S Palisade Dr, 104b, Santa Maria, CA 93454-5931 | 8059252521 | CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES OF SANTA MARIA INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scarlett K Okerblom | Physician Assistant | Central Coast Family Care Medical Associates of Santa Maria Inc | 915 E Stowell Rd B, Santa Maria, CA 93454-7010 |
| Kamlesh Mohan Desai | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 355 Daniel Ave, Suite 105, Sana Maria, CA 93454-6969 |
| Richard I Zachrich | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 821 E Chapel St, Suite 203, Santa Maria, CA 93454-4619 |
| William R Somers | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 821 E Chapel St, Suite 203, Santa Maria, CA 93454-4619 |
| John P Okerblom | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 821 E Chapel St, Suite 203, Santa Maria, CA 93454-4619 |
| Melinda K Jezierski | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 915 E Stowell Rd B, Santa Maria, CA 93454-7010 |
| Peggy C. Becketti | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 821 E Chapel St, Suite 203, Santa Maria, CA 93454-4619 |
| Mohammad A Arain | Internal Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 821 E Chapel St, Suite 203, Santa Maria, CA 93454-4619 |
| Nicholas Cane Becketti | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 220 S Palisade Dr, 104b, Santa Maria, CA 93454-5931 |
| Brian Desmond | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 220 S Palisade Dr, 104b, Santa Maria, CA 93454-5931 |
| Street Address |
220 S PALISADE DR 104B |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-5931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca K Jones | Obstetrics/gynecology | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 |
| Sarah Beth Krantz | Obstetrics/gynecology | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 |
| Nicole Townsend | Physician Assistant | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 |
| Maria C Rasul | Obstetrics/gynecology | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 |
| Jade Michelle Mas | Obstetrics/gynecology | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 |
| Mark Ginkel | Cardiovascular Disease (cardiology) | 220 S Palisade Dr, Suite 101, Santa Maria, CA 93454-5931 | |
| Nicholas Cane Becketti | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 220 S Palisade Dr, 104b, Santa Maria, CA 93454-5931 |
| Brian Desmond | Family Medicine | Central Coast Family Care Medical Associates of Santa Maria Inc | 220 S Palisade Dr, 104b, Santa Maria, CA 93454-5931 |
| Lynn Gretkowski | Obstetrics/gynecology | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 |
| Angela M Crothers | Nurse Practitioner | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 201, Santa Maria, CA 93454-8903 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane P O Brien | Certified Registered Nurse Anesthetist (crna) | 816 E Ehos Dr B, Santa Maria, CA 93454 | |
| Ramanand C Dandillaya | Neurology | 210 S Palisade S Dr, Suite 203, Santa Maria, CA 93454 | |
| Gayle L Ulshafer | Certified Registered Nurse Anesthetist | 837 Harper Ct, Santa Maria, CA 93454-2348 | |
| James Tahmisian | Psychologist, Clinical | 117 E Fesler St, Santa Maria, CA 93454-4404 | |
| Ron T Ng | Optometry | 610 E Chapel St, Suite C, Santa Maria, CA 93454-4522 | |
| Arlene C Gonzales | Family Medicine | 722 E Chapel St, Santa Maria, CA 93454-4524 | |
| Nathan Singer | Interventional Pain Management | 120 N Miller St A, Santa Maria, CA 93454-4557 | |
| Matthew Hadilaksono | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Suite 1, Santa Maria, CA 93454-4607 |
| Kenneth Ejiogu | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Santa Maria, CA 93454-4607 |
| Wanda J Spencer | Obstetrics/gynecology | 937 E Main St, 101 Women Care, Santa Maria, CA 93454-4607 | |
| Find all physicians in zip 93454 | |||
| City | SANTA MARIA |
| Zip Code | 93454 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANTA MARIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Laura J Theis.
| 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.