| Dr Klaus T Gottlieb, MD | |
|
1551 Bishop St, Ste 450, San Luis Obispo, CA 93401-4635 | |
| (805) 434-2434 | |
| (805) 540-2033 |
| Full Name | Dr Klaus T Gottlieb |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1551 Bishop St, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508832387 | NPI | - | NPPES |
| 805288400 | Medicaid | ID | |
| 8235491 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | C146628 (California) | Primary |
| Entity Name | Santa Maria Gastroenterology Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386971687 PECOS PAC ID: 6709070964 Enrollment ID: O20101101001401 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Klaus T Gottlieb, MD 1551 Bishop St, Ste 450, San Luis Obispo, CA 93401-4635 Ph: (805) 434-2434 | Dr Klaus T Gottlieb, MD 1551 Bishop St, Ste 450, San Luis Obispo, CA 93401-4635 Ph: (805) 434-2434 |
Rabab Hajar, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405 Phone: 805-541-1422 Fax: 805-595-1815 | |
Justin N Grammy, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401 Phone: 805-543-4407 Fax: 805-543-4587 | |
Pravir R Vatsa, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1023 Nipomo St # 110, San Luis Obispo, CA 93401 Phone: 805-439-2998 Fax: 805-439-2997 | |
Philippe Duhaime, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: Sierra Vista Regional Medical Center, 1010 Murray Ave,, San Luis Obispo, CA 93405 Phone: 805-546-7000 | |
Dr. Grace Crittenden, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401 Phone: 805-543-4043 | |
Christopher Vaughn Holland, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St Ste 250, San Luis Obispo, CA 93401 Phone: 805-540-0689 Fax: 805-541-4376 | |
Dr. Deborah A. Cherry, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4251 S Higuera St Ste 701, San Luis Obispo, CA 93401 Phone: 805-439-1381 Fax: 805-439-0138 |