| Buellton Medical Center | |
|
185 W Highway 246 Suite 102 Buellton CA 93427-9458 | |
| (805) 686-8555 | |
| (805) 686-8556 |
| Full Name | Buellton Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 185 W Highway 246, Buellton, California |
| Authorized Official Name and Position | Lawrence Arthur Cochran (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8059644428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buellton Medical Center 5007 Caire Cir Santa Barbara CA 93111-2709 Ph: () - | Buellton Medical Center 185 W Highway 246 Suite 102 Buellton CA 93427-9458 Ph: (805) 686-8555 |
| NPI Number | 1558531053 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Medicare PECOS PAC ID | 8426108564 |
|---|---|
| Medicare Enrollment ID | O20090610000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558531053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerald S Svedlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255365292 PECOS PAC ID: 9335032879 Enrollment ID: I20040209000370 |
| Provider Name | Elizabeth A Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811223654 PECOS PAC ID: 0749171049 Enrollment ID: I20040324001020 |
| Provider Name | Kamlesh Mohan Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336137850 PECOS PAC ID: 4789626094 Enrollment ID: I20050526000535 |
| Provider Name | Steven H Segerstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205876240 PECOS PAC ID: 7618928656 Enrollment ID: I20061030000275 |
| Provider Name | Diana Franco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811175821 PECOS PAC ID: 2365404035 Enrollment ID: I20080512000783 |
| Provider Name | Madhup Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033203740 PECOS PAC ID: 5890040661 Enrollment ID: I20180619001891 |
Buellton Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 W. Hwy 246, Suite 102, Buellton, CA 93427 Phone: 805-686-8555 Fax: 805-686-8556 |