Dr Gary C Ponto, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Goleta, California. Dr Gary C Ponto is licensed to practice in California (license number G37701) and his current practice location is 5652 Calle Real, Goleta, California. He can be reached at his office (for appointments etc.) via phone at
(805) 967-1539.
NPI number for Dr Gary C Ponto is 1508893355 and his current mailing address is 5652 Calle Real, Goleta, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508893355.
Physician's Profile
| Full Name | Dr Gary C Ponto |
|---|
| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 5652 Calle Real, Goleta, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508893355
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 03/07/2014
Medical Identifiers
Medical identifiers for Dr Gary C Ponto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508893355 | NPI | - | NPPES |
| GR0058760 | Medicaid | CA | |
| 00G377010 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G37701 (California) | Primary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | G37701 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary C Ponto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gary C Ponto, MD
5652 Calle Real,
Goleta, CA 93117-2317
Ph: (805) 967-1539 | Dr Gary C Ponto, MD
5652 Calle Real,
Goleta, CA 93117-2317
Ph: (805) 967-1539 |
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