Family Practice Medical Group | |
200 N La Cumbre Rd #e Santa Barbara CA 93110-1577 | |
(805) 687-1505 | |
(805) 682-8241 |
Full Name | Family Practice Medical Group |
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Speciality | Family Medicine |
Location | 200 N La Cumbre Rd, Santa Barbara, California |
Authorized Official Name and Position | Jerome T Kay (INC) |
Authorized Official Contact | 8056871505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Practice Medical Group 200 N La Cumbre Rd Suite E Santa Barbara CA 93110-1577 Ph: (805) 687-1505 | Family Practice Medical Group 200 N La Cumbre Rd #e Santa Barbara CA 93110-1577 Ph: (805) 687-1505 |
NPI Number | 1215046065 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 09/09/2010 |
Medicare PECOS PAC ID | 4284661273 |
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Medicare Enrollment ID | O20050721000171 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215046065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Matthew S Payne |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558520676 PECOS PAC ID: 5395885487 Enrollment ID: I20140207001046 |
Provider Name | Fen Liang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780843953 PECOS PAC ID: 1153460993 Enrollment ID: I20140710002591 |
Provider Name | Steven J Payne |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952404402 PECOS PAC ID: 5597666446 Enrollment ID: I20180510000728 |
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