| Jackson Medical Group Inc | |
|
517 W Junipero St Santa Barbara CA 93105-4239 | |
| (805) 682-8844 | |
| (805) 682-4735 |
| Full Name | Jackson Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 517 W Junipero St, Santa Barbara, California |
| Authorized Official Name and Position | Karen M Engberg (PRESIDENT) |
| Authorized Official Contact | 8056828844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Medical Group Inc 517 W Junipero St Santa Barbara CA 93105-4239 Ph: (805) 682-8844 | Jackson Medical Group Inc 517 W Junipero St Santa Barbara CA 93105-4239 Ph: (805) 682-8844 |
| NPI Number | 1891711289 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 01/17/2014 |
| Medicare PECOS PAC ID | 6103970983 |
|---|---|
| Medicare Enrollment ID | O20090812000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891711289 | NPI | - | NPPES |
| 1891711289 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| Provider Name | Douglas E Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407876774 PECOS PAC ID: 6608802574 Enrollment ID: I20050712000714 |
| Provider Name | Shaun S Ehsani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306040712 PECOS PAC ID: 4688746597 Enrollment ID: I20080710000122 |
| Provider Name | Blanca E Fernandez-kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679653927 PECOS PAC ID: 6406846161 Enrollment ID: I20090526000091 |
| Provider Name | Karen M Hanna Arndt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598784225 PECOS PAC ID: 3072653831 Enrollment ID: I20091229000658 |
| Provider Name | Gina a Grossi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306076476 PECOS PAC ID: 8325273493 Enrollment ID: I20131025000447 |
| Provider Name | Jeffrey a Garber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104220375 PECOS PAC ID: 6305160730 Enrollment ID: I20250415002697 |
Allen J Thomashefsky, MD, a Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Bath St Ste 301, Santa Barbara, CA 93105 Phone: 805-962-2662 Fax: 805-569-5670 |
Recovery Road Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 State Street, Santa Barbara, CA 93101 Phone: 805-962-7800 Fax: 805-962-9002 |
Conscious Psychiatry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5290 Overpass Rd Ste 128, Santa Barbara, CA 93111 Phone: 805-203-0049 |
Milpas Medical Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 N Milpas St, Santa Barbara, CA 93103 Phone: 805-965-8284 Fax: 805-962-0429 |
Jeffrey R. Polito M.D. a Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 334 S Patterson Ave, Santa Barbara, CA 93111 Phone: 805-681-1490 Fax: 805-681-1593 |
Gary M Van Deventer MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Pueblo St, Suite B, Santa Barbara, CA 93105 Phone: 805-563-0024 Fax: 805-563-1454 |