House Calls Medical Group | |
2495 Glen Albyn Drive Santa Barbara CA 93105 | |
(805) 682-0414 | |
(805) 524-0658 |
Full Name | House Calls Medical Group |
---|---|
Speciality | Internal Medicine |
Location | 2495 Glen Albyn Drive, Santa Barbara, California |
Authorized Official Name and Position | Robert Zylstra (OWNER) |
Authorized Official Contact | 8056820414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
House Calls Medical Group 2495 Glen Albyn Drive Santa Barbara CA 93105 Ph: (805) 682-0414 | House Calls Medical Group 2495 Glen Albyn Drive Santa Barbara CA 93105 Ph: (805) 682-0414 |
NPI Number | 1134258320 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 02/06/2017 |
Medicare PECOS PAC ID | 7719959766 |
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Medicare Enrollment ID | O20040810000731 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134258320 | NPI | - | NPPES |
1134258320 | Other | NPI NUMBER | |
1174652465 | Other | NPI NUMBER | |
G36944 | Other | CA | LICENSE |
WG36944A | Other | MEDICARE PTAN | |
WI509 | Other | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G36944 (California) | Primary |
Provider Name | Robert S Zylstra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174652465 PECOS PAC ID: 8527235845 Enrollment ID: I20120126000682 |
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