| Joy T. Vanterpool Md Inc | |
|
2342 Professional Pkwy Suite 260 Santa Maria CA 93455-1629 | |
| (805) 348-3950 | |
| (805) 348-3901 |
| Full Name | Joy T. Vanterpool Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2342 Professional Pkwy, Santa Maria, California |
| Authorized Official Name and Position | Joy T. Vanterpool (OWNER) |
| Authorized Official Contact | 8053483950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joy T. Vanterpool Md Inc 2342 Professional Pkwy Suite 260 Santa Maria CA 93455-1629 Ph: (805) 348-3950 | Joy T. Vanterpool Md Inc 2342 Professional Pkwy Suite 260 Santa Maria CA 93455-1629 Ph: (805) 348-3950 |
| NPI Number | 1386788925 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 03/04/2014 |
| Medicare PECOS PAC ID | 8022106293 |
|---|---|
| Medicare Enrollment ID | O20071121000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386788925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A75691 (California) | Primary |
| Provider Name | Joy T Vanterpool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710966684 PECOS PAC ID: 3274423587 Enrollment ID: I20040319000035 |
Santa Barbara County Public Health Department-good Samaritan Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Morrison Ave, Santa Maria, CA 93458 Phone: 805-347-3338 | |
Med Plus Central Coast Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2271 S Depot St, Santa Maria, CA 93455 Phone: 805-922-0561 Fax: 805-922-0083 | |
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