| Kevin L Ferguson, MD | |
|
1400 E Church St, Santa Maria, CA 93454-5906 | |
| (805) 548-1550 | |
| Not Available |
| Full Name | Kevin L Ferguson |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 27 Years |
| Location | 1400 E Church St, Santa Maria, 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 |
|---|---|---|---|
| 1801823067 | NPI | - | NPPES |
| 00A717570 | Medicaid | CA | |
| GR0058760 | Medicaid | CA | |
| LAB43503F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZH0000X | Pathology - Hematology | A71757 (California) | Secondary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | A71757 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| French Hospital Medical Center | San luis obispo, CA | Hospital |
| Lompoc Valley Medical Center | Lompoc, CA | Hospital |
| Sierra Vista Regional Medical Center | San luis obispo, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Pathology Services Of The Central Coast | 4284871658 | 11 |
| Santa Maria Gastroenterology Medical Group Inc. | 6709070964 | 5 |
| 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 |
| Entity Name | Diagnostic Pathology Services Of The Central Coast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942549068 PECOS PAC ID: 4284871658 Enrollment ID: O20130503000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin L Ferguson, MD Po Box 8139, San Luis Obispo, CA 93403-8139 Ph: (805) 541-6033 | Kevin L Ferguson, MD 1400 E Church St, Santa Maria, CA 93454-5906 Ph: (805) 548-1550 |
Johanna Baran Moore, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Church St, Santa Maria, CA 93454 Phone: 805-548-1550 |