| Jordan Mark Reader, DO | |
|
697 W Tefft St, Nipomo, CA 93444-9190 | |
| (805) 929-2272 | |
| (805) 929-1454 |
| Full Name | Jordan Mark Reader |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 697 W Tefft St, Nipomo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770146862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A20095 (California) | Primary |
| Entity Name | Pacific Central Coast Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Mark Reader, DO 697 W Tefft St, Nipomo, CA 93444-9190 Ph: (805) 929-2272 | Jordan Mark Reader, DO 697 W Tefft St, Nipomo, CA 93444-9190 Ph: (805) 929-2272 |
Dr. Nancy Ellen Kitson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1560 Mesa Rd Ste 100, Nipomo, CA 93444 Phone: 805-614-5640 Fax: 805-614-5641 | |
Emilia Ambrosio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6440 | |
Natalia V Schwartz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6359 | |
Alexander M Austria, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6440 | |
Denise E Taylor, Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-938-0935 | |
Vartan Tachdjian, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6440 |