CMG MEDICAL GROUP INC NPI 1447207535

NPI Information

NPI: 1447207535
Provider Name: CMG MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1555 HIGUERA ST
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 543-4043
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CMG MEDICAL GROUP INC is a family medicine in San Luis Obispo, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CMG MEDICAL GROUP INC NPI is 1447207535. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1555 HIGUERA ST
SAN LUIS OBISPO, CA
ZIP 93401-917
Phone: (805) 543-4043
Fax: (805) 543-4427

The provider's authorized official is Steven B Goodman .
The authorized official title is President and has the following contact phone number (805) 543-4043.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 3/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		C1935201	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WD13933D	MEDICARE PIN	CALIFORNIA
2	ZZZ0515Z	OTHER	CALIFORNIA	BLUE SHIELD OF CA
3	GR0069893	MEDICAID	CALIFORNIA
4	CH6045	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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