Pediatric Medical Group Of Santa Maria Inc in Santa Maria - Pediatrics

Pediatric Medical Group Of Santa Maria Inc - NPI 1811091952

Pediatric Medical Group Of Santa Maria Inc is a Pediatrics in Santa Maria, California. Pediatric Medical Group Of Santa Maria Inc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pediatric Medical Group Of Santa Maria Inc is 1811091952. The last update date is 2011-03-03.

Pediatric Medical Group Of Santa Maria Inc's current location address is 1430 E Main St, Santa Maria, California. You can contact this provider via phone number 8059223548 and fax number 8059285609. The mailing address for Pediatric Medical Group Of Santa Maria Inc is 1430 E Main St, Santa Maria, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Medical Group Of Santa Maria Inc
Address 1430 E Main St, Santa Maria, California
Phone Number 8059223548
Fax Number 8059285609
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Rostermundt D Shane
Credentials DO
Telephone Number 8059223548

NPI Number Detail

NPI Number 1811091952
Provider Enumeration Date 2006-09-11
Last Updated Date 2011-03-03

Provider Mailing Address Detail

Address 1430 E Main St
City Santa Maria
State California (CA)
Post Code 93454
Phone Number 8059223548
Fax Number 8059285609

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
YYY48371Y CA --

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FAQs about Pediatric Medical Group Of Santa Maria Inc

What is the unique identifier code issued to Pediatric Medical Group Of Santa Maria Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Pediatric Medical Group Of Santa Maria Inc has been assigned the NPI (National Provider Identifier) 1811091952. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Pediatric Medical Group Of Santa Maria Inc's facilities are situated?

The facilities of Pediatric Medical Group Of Santa Maria Inc are physically located at the following address: 1430 E Main St, Santa Maria, CA, 93454.

What is Pediatric Medical Group Of Santa Maria Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Pediatric Medical Group Of Santa Maria Inc's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Pediatric Medical Group Of Santa Maria Inc receive its 1811091952 assignment from the Centers for Medicare & Medicaid Services?

The Pediatric Medical Group Of Santa Maria Inc was assigned its 1811091952 by the Centers for Medicare & Medicaid Services on 2006-09-11.

When was the information regarding Pediatric Medical Group Of Santa Maria Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Pediatric Medical Group Of Santa Maria Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-03.

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