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SANTA MARIA NEPHROLOGY MEDICAL GROUP NPI 1487217691


NPI Information

NPI: 1487217691
Provider Name: SANTA MARIA NEPHROLOGY MEDICAL GROUP
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 05D1009990

Address:
1505 SHEPARD DR
SANTA MARIA, CA
ZIP 93454
Phone: (805) 245-9340
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SANTA MARIA NEPHROLOGY MEDICAL GROUP is a nephrology internal medicine in Santa Maria, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SANTA MARIA NEPHROLOGY MEDICAL GROUP NPI is 1487217691. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1505 SHEPARD DR
SANTA MARIA, CA
ZIP 93454-020
Phone: (805) 245-9340

The provider's authorized official is Arashdeep Poonia .
The authorized official title is Part Owner and has the following contact phone number (215) 687-5149.

The CLIA number assigned to this NPI record is 05D1009990 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2019 and was last updated on 4/17/2019.


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
1207RN0300XInternal MedicineNephrologyYes

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
1A134355OTHERCALIFORNIAMD LICSENSE
2A129530OTHERCALIFORNIAMD LICSENSE

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: 11/14/2023

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