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THE PEDIATRIC SPECIALISTS MEDICAL GROUP INC. NPI 1700964665


NPI Information

NPI: 1700964665
Provider Name: THE PEDIATRIC SPECIALISTS MEDICAL GROUP, INC.

Doing Business As: PEDIATRIC SPECIALISTS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
138 W BRANCH ST
SUITE A
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 481-3166
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THE PEDIATRIC SPECIALISTS MEDICAL GROUP, INC. is a pediatrics in Arroyo Grande, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. THE PEDIATRIC SPECIALISTS MEDICAL GROUP, INC. NPI is 1700964665. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Specialists.

The provider's business location address is:

138 W BRANCH ST
SUITE A
ARROYO GRANDE, CA
ZIP 93420-611
Phone: (805) 481-3166
Fax: (805) 481-8237

The provider's authorized official is Susan H. Hoffman .
The authorized official title is Owner and has the following contact phone number (805) 481-3166.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 2/28/2008.


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
1208000000XPediatrics55326CALIFORNIAYes

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
1ZZZ50949YOTHERCALIFORNIABLUE SHIELD
2GR0105730MEDICAIDCALIFORNIA

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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