| Pismo Beach Pediatric Center | |
|
2 James Way Suite 209 Pismo Beach CA 93449-4973 | |
| (805) 739-3474 | |
| (805) 346-3548 |
| Full Name | Pismo Beach Pediatric Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2 James Way, Pismo Beach, California |
| Authorized Official Name and Position | Matthew Richardson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8057393108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pismo Beach Pediatric Center 117 W Bunny Ave Santa Maria CA 93458-2805 Ph: (805) 739-3474 | Pismo Beach Pediatric Center 2 James Way Suite 209 Pismo Beach CA 93449-4973 Ph: (805) 739-3474 |
| NPI Number | 1538618590 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538618590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Coastal Village Primary Care, A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 James Way, Ste 209, Pismo Beach, CA 93449 Phone: 805-773-7440 Fax: 805-773-7448 | |
Ventana Health And Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449 Phone: 805-489-2205 | |
Coastal Village Primary, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 James Way, Suite 209, Pismo Beach, CA 93449 Phone: 805-773-7440 Fax: 805-773-7448 | |
Central Coast Ent Specialists - Pismo Beach Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Oak Park Blvd Ste 202, Pismo Beach, CA 93449 Phone: 805-739-3890 Fax: 805-347-7697 | |
Pismo Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 575 Price St, Suite 101, Pismo Beach, CA 93449 Phone: 805-773-0707 Fax: 805-773-2051 | |
Hinds Medical Group A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Princessa Ln, Pismo Beach, CA 93449 Phone: 805-704-2835 Fax: 052-213-2998 |