| Santa Ynez Professional Clinic | |
|
2040 Viborg Rd Ste 110 Solvang CA 93463-2272 | |
| (805) 686-3971 | |
| Not Available |
| Full Name | Santa Ynez Professional Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2040 Viborg Rd Ste 110, Solvang, California |
| Authorized Official Name and Position | Sandra C Lood (VICE PRESIDENT REVENUE CYCLE) |
| Authorized Official Contact | 8056998028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Ynez Professional Clinic 2050 Viborg Rd Solvang CA 93463-2220 Ph: (805) 686-3971 | Santa Ynez Professional Clinic 2040 Viborg Rd Ste 110 Solvang CA 93463-2272 Ph: (805) 686-3971 |
| NPI Number | 1881179521 |
|---|---|
| Provider Enumeration Date | 09/28/2018 |
| Last Update Date | 03/29/2022 |
| Medicare PECOS PAC ID | 2769567015 |
|---|---|
| Medicare Enrollment ID | O20190521002348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881179521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jason E Boyatt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265547624 PECOS PAC ID: 6507895307 Enrollment ID: I20050811000703 |
| Provider Name | Roger I Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154424240 PECOS PAC ID: 1759426950 Enrollment ID: I20100422000757 |
Santa Ynez Valley Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2030 Viborg Rd, Suite 205, Solvang, CA 93463 Phone: 805-688-2600 Fax: 805-693-8109 | |
Sandra Ce Wilson Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 Alamo Pintado Rd, Suite 202, Solvang, CA 93463 Phone: 805-688-3158 Fax: 805-688-7413 | |
Sandra Wilson Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2030 Viborg Rd, Solvang, CA 93463 Phone: 805-245-9010 Fax: 805-686-9977 | |
William J Heringer Md A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2030 Viborg Rd Ste 201, Solvang, CA 93463 Phone: 805-688-7200 Fax: 805-688-2894 |