| Michael Kazak Md Inc | |
|
1040 W Main St Santa Maria CA 93458-4238 | |
| (805) 922-8269 | |
| (805) 349-9509 |
| Full Name | Michael Kazak Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1040 W Main St, Santa Maria, California |
| Authorized Official Name and Position | Michael K Kazak (OWNER) |
| Authorized Official Contact | 8059228269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Kazak Md Inc 1040 W Main St Santa Maria CA 93458-4238 Ph: (805) 922-8269 | Michael Kazak Md Inc 1040 W Main St Santa Maria CA 93458-4238 Ph: (805) 922-8269 |
| NPI Number | 1528249232 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 9436238128 |
|---|---|
| Medicare Enrollment ID | O20080506000835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528249232 | NPI | - | NPPES |
| W22110 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael K Kazak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285732636 PECOS PAC ID: 7810939345 Enrollment ID: I20080416000683 |
Santa Barbara County Public Health Department-good Samaritan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Morrison Ave, Santa Maria, CA 93458 Phone: 805-347-3338 | |
Med Plus Central Coast Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2271 S Depot St, Santa Maria, CA 93455 Phone: 805-922-0561 Fax: 805-922-0083 | |
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