| Central Coast Medical Group | |
|
119 S B St Lompoc CA 93436-6903 | |
| (805) 740-9400 | |
| (805) 741-2640 |
| Full Name | Central Coast Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 119 S B St, Lompoc, California |
| Authorized Official Name and Position | John Michael Sawyer (PARTNER) |
| Authorized Official Contact | 8057409400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Medical Group 119 S B St Lompoc CA 93436-6903 Ph: (805) 740-9400 | Central Coast Medical Group 119 S B St Lompoc CA 93436-6903 Ph: (805) 740-9400 |
| NPI Number | 1255768057 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 08/01/2024 |
| Medicare PECOS PAC ID | 2961632393 |
|---|---|
| Medicare Enrollment ID | O20140305000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255768057 | NPI | - | NPPES |
| 1750395224 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G71040 (California) | Primary |
| Provider Name | John M Sawyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750395224 PECOS PAC ID: 0941290399 Enrollment ID: I20080811000706 |
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