| Las Tablas Medical Group | |
|
2120 Golden Hill Rd Suite 102 Paso Robles CA 93446-7047 | |
| (805) 434-2900 | |
| (805) 434-2928 |
| Full Name | Las Tablas Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2120 Golden Hill Rd, Paso Robles, California |
| Authorized Official Name and Position | Norma J Smith (OFFICE MANAGER) |
| Authorized Official Contact | 8054342900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Tablas Medical Group 2120 Golden Hill Rd Suite 102 Paso Robles CA 93446-7047 Ph: (805) 434-2900 | Las Tablas Medical Group 2120 Golden Hill Rd Suite 102 Paso Robles CA 93446-7047 Ph: (805) 434-2900 |
| NPI Number | 1205994977 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7012011141 |
|---|---|
| Medicare Enrollment ID | O20070329000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205994977 | NPI | - | NPPES |
| W20497 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| Provider Name | Scott M Greaves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750377974 PECOS PAC ID: 4385653187 Enrollment ID: I20070329000694 |
| Provider Name | John J Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275751612 PECOS PAC ID: 3870689839 Enrollment ID: I20071022000767 |
| Provider Name | Anthony Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417341330 PECOS PAC ID: 6507155058 Enrollment ID: I20160523001754 |
Community Health Centers Los Robles Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Riverside Ave Ste 101, Paso Robles, CA 93446 Phone: 805-361-8014 Fax: 805-361-8097 | |
Central Coast Premiere Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 W Hollow Dr, Paso Robles, CA 93446 Phone: 805-703-0024 Fax: 888-275-1229 | |
Paso Robles Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Spring St Ste 201, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-238-0165 | |
Family Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 13th St, Paso Robles, CA 93446 Phone: 805-238-2665 Fax: 805-238-7422 | |
San Luis Obispo Drug And Alcohol Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Niblick Rd, Paso Robles, CA 93446 Phone: 805-781-4753 Fax: 805-781-1227 | |
Joseph D Bettencourt Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Golden Hill Rd, Suite 202, Paso Robles, CA 93446 Phone: 805-434-2240 Fax: 805-434-0102 |