| |
1414 S Miller St Suite 9 Santa Maria CA 93454-6923 | |
(805) 934-5400 | |
(805) 938-9207 |
Full Name | |
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Speciality | Family Medicine |
Location | 1414 S Miller St, Santa Maria, California |
Authorized Official Name and Position | Ronald E Castle (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8059293211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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150 Tejas Pl Po Box 430 Nipomo CA 93444-9123 Ph: (805) 929-3211 | 1414 S Miller St Suite 9 Santa Maria CA 93454-6923 Ph: (805) 934-5400 |
NPI Number | 1679736987 |
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Provider Enumeration Date | 07/07/2008 |
Last Update Date | 07/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679736987 | NPI | - | NPPES |
HAP70477F | Other | CA | HEALTHY FAMILIES |
FHC70477F | Medicaid | CA | |
W1508 | Other | CA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 550000721 (California) | Primary |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 | |