| |
124 W Fesler St Santa Maria CA 93458-4002 | |
(805) 928-7881 | |
(805) 928-1931 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 124 W Fesler St, Santa Maria, California |
Authorized Official Name and Position | Francisco Reyna Mendoza (OWNER) |
Authorized Official Contact | 8059287881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
124 W Fesler St Santa Maria CA 93458-4002 Ph: (805) 928-7881 | 124 W Fesler St Santa Maria CA 93458-4002 Ph: (805) 928-7881 |
NPI Number | 1508002924 |
---|---|
Provider Enumeration Date | 01/07/2009 |
Last Update Date | 12/03/2019 |
Medicare PECOS PAC ID | 8325191273 |
---|---|
Medicare Enrollment ID | O20090725000027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508002924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G63191 (California) | Primary |
Provider Name | Francisco Mendoza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093782278 PECOS PAC ID: 4789737636 Enrollment ID: I20090725000023 |
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 | |
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 | |