| Dr Carlos Untal, MD | |
|
10 Santa Rosa Street, Suite 201, San Luis Obispo, CA 93405 | |
| (805) 782-8132 | |
| (805) 597-8350 |
| Full Name | Dr Carlos Untal |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 10 Santa Rosa Street, San Luis Obispo, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316923998 | NPI | - | NPPES |
| 009350 | Other | CA | PHYSICIAN INDEX # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A90379 (California) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | A90379 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Management Specialists Medical Group | 2860448685 | 12 |
| Hullander And Mozingo Lp | 3971543752 | 9 |
| Entity Name | Pain Management Specialists Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265435416 PECOS PAC ID: 2860448685 Enrollment ID: O20050324000765 |
| Entity Name | Hullander And Mozingo Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164449880 PECOS PAC ID: 3971543752 Enrollment ID: O20050511000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carlos Untal, MD Po Box 4659, San Luis Obispo, CA 93403-4659 Ph: (805) 782-8132 | Dr Carlos Untal, MD 10 Santa Rosa Street, Suite 201, San Luis Obispo, CA 93405 Ph: (805) 782-8132 |
Dr. Curby Dirk Jenkins, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-928-1731 Fax: 805-349-8160 | |
Paul J Wolfrom, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-928-1731 | |
Mary M Stenger, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1010 Murray St, San Luis Obispo, CA 93405 Phone: 805-928-1731 Fax: 805-349-8160 | |
Saul J David, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray St, San Luis Obispo, CA 93405 Phone: 805-928-1731 Fax: 805-349-8160 | |
Dr. Matthew James Barry, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-928-1731 Fax: 805-349-8160 | |
Ryan Pieterick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-543-5353 | |
Dr. John Stevenson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-543-5353 |