Samer S Othman, MD | |
10 Santa Rosa St Ste 201, San Luis Obispo, CA 93405 | |
(805) 544-7246 | |
(805) 782-8097 |
Full Name | Samer S Othman |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 10 Santa Rosa St Ste 201, San Luis Obispo, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437476439 | NPI | - | NPPES |
12609001 | Other | CA | CAQH PROVIDER NUMBER |
A118624 | Other | CA | CA MEDICAL BOARD LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | A118624 (California) | Secondary |
207R00000X | Internal Medicine | A118624 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marian Regional Medical Center | Santa maria, CA | Hospital |
Lompoc Valley Medical Center | Lompoc, CA | Hospital |
Twin Cities Community Hospital | Templeton, CA | Hospital |
Channel Islands Post Acute | Santa barbara, CA | Nursing home |
Villa Maria Post Acute | Santa maria, CA | Nursing home |
Santa Maria Post Acute | Santa maria, CA | Nursing home |
Buena Vista Care Center | Santa barbara, CA | Nursing home |
Lompoc Skilled Nursing & Rehabilitation Center | Lompoc, CA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pain Management Specialists Medical Group | 2860448685 | 12 |
Central Coast In-patient Consultants Inc | 8325137714 | 37 |
Lompoc Hospitalist Group Pc | 8426470832 | 11 |
Entity Name | Pain Management Specialists Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265435416 PECOS PAC ID: 2860448685 Enrollment ID: O20050324000765 |
Entity Name | Hospitalist Medicine Physicians Of California Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956 |
Entity Name | Central Coast In-patient Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609096882 PECOS PAC ID: 8325137714 Enrollment ID: O20071207000854 |
Entity Name | S Corp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821501560 PECOS PAC ID: 6002174802 Enrollment ID: O20171228001372 |
Entity Name | Lompoc Hospitalist Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891335717 PECOS PAC ID: 8426470832 Enrollment ID: O20200611002650 |
Mailing Address | Practice Location Address |
---|---|
Samer S Othman, MD Po Box 14632, San Luis Obispo, CA 93406-4632 Ph: (626) 800-7617 | Samer S Othman, MD 10 Santa Rosa St Ste 201, San Luis Obispo, CA 93405 Ph: (805) 544-7246 |
Rabab Hajar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405 Phone: 805-541-1422 Fax: 805-595-1815 | |
Justin N Grammy, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401 Phone: 805-543-4407 Fax: 805-543-4587 | |
Pravir R Vatsa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Nipomo St # 110, San Luis Obispo, CA 93401 Phone: 805-439-2998 Fax: 805-439-2997 | |
Philippe Duhaime, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: Sierra Vista Regional Medical Center, 1010 Murray Ave,, San Luis Obispo, CA 93405 Phone: 805-546-7000 | |
Dr. Grace Crittenden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401 Phone: 805-543-4043 | |
Christopher Vaughn Holland, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St Ste 250, San Luis Obispo, CA 93401 Phone: 805-540-0689 Fax: 805-541-4376 | |
Dr. Deborah A. Cherry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4251 S Higuera St Ste 701, San Luis Obispo, CA 93401 Phone: 805-439-1381 Fax: 805-439-0138 |