| S Corp Inc | |
|
830 E Chapel St Santa Maria CA 93454-4610 | |
| (805) 922-6657 | |
| (805) 436-2364 |
| Full Name | S Corp Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 E Chapel St, Santa Maria, California |
| Authorized Official Name and Position | Samer Othman (PRESIDENT/CEO) |
| Authorized Official Contact | 6268007617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S Corp Inc Po Box 14632 San Luis Obispo CA 93406-4632 Ph: (626) 800-7617 | S Corp Inc 830 E Chapel St Santa Maria CA 93454-4610 Ph: (805) 922-6657 |
| NPI Number | 1821501560 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 04/10/2020 |
| Medicare PECOS PAC ID | 6002174802 |
|---|---|
| Medicare Enrollment ID | O20171228001372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821501560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A118624 (California) | Primary |
| Provider Name | Samer S. Othman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437476439 PECOS PAC ID: 5092954248 Enrollment ID: I20130618000859 |
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 | |
Santa Barbara County Public Health Dept-santa Maria Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2115 Centerpointe Pkwy, Santa Maria, CA 93455 Phone: 805-346-7230 Fax: 805-346-8449 | |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Restorative Spine & Joint Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3596 Skyway Dr Ste B, Santa Maria, CA 93455 Phone: 805-614-7820 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 | |
Marian Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1745 N Broadway Ste 101, Santa Maria, CA 93454 Phone: 805-739-3890 Fax: 805-347-7697 |