| Central Coast Medical Group | |
|
119 S B St Lompoc CA 93436-6903 | |
| (805) 740-9400 | |
| (805) 741-2640 |
| Full Name | Central Coast Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 119 S B St, Lompoc, California |
| Authorized Official Name and Position | John Michael Sawyer (PARTNER) |
| Authorized Official Contact | 8057409400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Medical Group 119 S B St Lompoc CA 93436-6903 Ph: (805) 740-9400 | Central Coast Medical Group 119 S B St Lompoc CA 93436-6903 Ph: (805) 740-9400 |
| NPI Number | 1255768057 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 08/01/2024 |
| Medicare PECOS PAC ID | 2961632393 |
|---|---|
| Medicare Enrollment ID | O20140305000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255768057 | NPI | - | NPPES |
| 1750395224 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G71040 (California) | Primary |
| Provider Name | John M Sawyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750395224 PECOS PAC ID: 0941290399 Enrollment ID: I20080811000706 |
Santa Barbara County Auditor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N R St, Lompoc, CA 93436 Phone: 805-737-6400 Fax: 805-737-6458 | |
Rahim A Raoufi, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 228 S D St, Suite B, Lompoc, CA 93436 Phone: 208-667-9334 Fax: 208-664-2341 | |
Lompoc Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 South C Street, Lompoc, CA 93436 Phone: 805-737-3321 Fax: 805-737-3389 | |
Dale Ekstrum Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 W Central Ave, Suite G, Lompoc, CA 93436 Phone: 805-735-4292 Fax: 805-735-4293 | |
Community Health Centers Of The Central Coast Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 W Ocean Ave, Lompoc, CA 93436 Phone: 805-737-1169 Fax: 805-737-1772 | |
Santa Barbara County County Auditor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N R St, Lompoc, CA 93436 Phone: 805-737-6400 Fax: 805-737-6425 |