Willard S Chung (NPI# 1285898635, PAC ID# 8820125008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1285898635 |
| PAC ID by PECOS | 8820125008 |
| Professional Enrollment ID | I20100420000351 |
| Full Name | Willard S Chung |
| Organization Legal Name | CENTRAL COAST IN-PATIENT CONSULTANTS, INC. |
| Address |
1400 E Church Ave Santa Maria CA 93454-5906 |
| Phone Number | 8057393215 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325137714 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1400 E Church Ave, Santa Maria, CA 93454-5906 | 8057393215 | CENTRAL COAST IN-PATIENT CONSULTANTS, INC. |
| 1400 E Church St, Santa Maria, CA 93454-5906 | 8057393561 | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Organization Legal Name | CENTRAL COAST IN-PATIENT CONSULTANTS, INC. |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Siri Atma Singh Khalsa | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Mark A Sandquist | Family Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Elham Novin Baheran | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Brandon M Penn | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Alina A Dalmendray | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Victor Ismael Pulido | Family Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Jacob L Mayor | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Cristina Valero | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Elena Y Agafonova | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Nicandro Castaneda | Emergency Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Street Address |
1400 E CHURCH AVE |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-5906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Siri Atma Singh Khalsa | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Mark A Sandquist | Family Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Elham Novin Baheran | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Brandon M Penn | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Alina A Dalmendray | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Cristina Valero | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Elena Y Agafonova | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Nicandro Castaneda | Emergency Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Roman M Winter | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| Morningstar J Anton | Internal Medicine | Central Coast In-patient Consultants, Inc. | 1400 E Church Ave, Santa Maria, CA 93454-5906 |
| 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 Willard S Chung.
| 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.