Provider Type Icon

SANTA LUCIA MEDICAL GROUP INC NPI 1548646763


NPI Information

NPI: 1548646763
Provider Name: SANTA LUCIA MEDICAL GROUP INC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 05D2193531

Address:
1336 NATIVIDAD RD
SALINAS, CA
ZIP 93906
Phone: (831) 754-4444
Get Directions

SANTA LUCIA MEDICAL GROUP INC is a preferred provider organization in Salinas, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. SANTA LUCIA MEDICAL GROUP INC NPI is 1548646763. The provider is registered as an organization entity type.

The provider's business location address is:

1336 NATIVIDAD RD
SALINAS, CA
ZIP 93906-138
Phone: (831) 754-4444
Fax: (831) 754-2763

The provider's authorized official is Martha Elia Campbell .
The authorized official title is Office Manager and has the following contact phone number (831) 754-4444.

The CLIA number assigned to this NPI record is 05D2193531 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2015 and was last updated on 8/11/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationG45197CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11952483232OTHERCALIFORNIANPI NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.