Santa Maria Gastroenterology Medical Group Inc.

LBN: Santa Maria Gastroenterology Medical Group Inc.
Santa Maria Gastroenterology Medical Group Inc. is an health care organization with primary practice located at 1311 S Miller St 100, Santa Maria CA 93454-6900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Santa Maria Gastroenterology Medical Group Inc. can be contacted via phone (805) 922-6991, or through Jahnke, Eric W via phone (805) 922-6991.

Contact Information

Primary practice address
1311 S Miller St 100 Santa Maria CA 93454-6900
Phone: (805) 922-6991
Fax: (805) 922-7052
Website:
Map and Directions
Authorized official contact:
Name: Jahnke, Eric W Doctor of Medicine (MD)
Phone: (805) 922-6991

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1386971687
LBN Legal business name Santa Maria Gastroenterology Medical Group Inc.
DBA Doing business as
Authorized official Jahnke, Eric W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2009
Last updated Jul 23rd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386971687 NPPES
California Other DS163A PTAN
California Other CLM 00342820 PTAN
California MEDICAID 1386971687 PTAN

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