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2120 Golden Hill Rd Suite 102 Paso Robles CA 93446-7047 | |
(805) 434-2900 | |
(805) 434-2928 |
Full Name | |
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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 |
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2120 Golden Hill Rd Suite 102 Paso Robles CA 93446-7047 Ph: (805) 434-2900 | 2120 Golden Hill Rd Suite 102 Paso Robles CA 93446-7047 Ph: (805) 434-2900 |
NPI Number | 1205994977 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7012011141 |
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Medicare Enrollment ID | O20070329000691 |
Identifier | Type | State | Issuer |
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1205994977 | NPI | - | NPPES |
W20497 | Other | CA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Primary |
Provider Name | Scott M Greaves |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750377974 PECOS PAC ID: 4385653187 Enrollment ID: I20070329000694 |
Provider Name | John J Davis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275751612 PECOS PAC ID: 3870689839 Enrollment ID: I20071022000767 |
Provider Name | Anthony Graves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417341330 PECOS PAC ID: 6507155058 Enrollment ID: I20160523001754 |
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 | |
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 |