Pediatric Medical Group Of Santa Maria Inc

LBN: Pediatric Medical Group Of Santa Maria Inc
Pediatric Medical Group Of Santa Maria Inc is an health care organization with primary practice located at 1430 E Main St #201, Santa Maria CA 93454. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Medical Group Of Santa Maria Inc can be contacted via phone (805) 922-3548, or through Rostermundt, Shane D via phone (805) 922-3548.

Contact Information

Primary practice address
1430 E Main St #201 Santa Maria CA 93454
Phone: (805) 922-3548
Fax: (805) 928-5609
Website:
Map and Directions
Authorized official contact:
Name: Rostermundt, Shane D Doctor of Osteopathy (DO)
Phone: (805) 922-3548

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1811091952
LBN Legal business name Pediatric Medical Group Of Santa Maria Inc
DBA Doing business as
Authorized official Rostermundt, Shane D Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2006
Last updated Mar 3rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811091952 NPPES
California MEDICAID YYY48371Y

Popular Providers