| Restorative Medical Pc | |
|
3596 Skyway Dr Ste B Santa Maria CA 93455-2514 | |
| (805) 614-7820 | |
| Not Available |
| Full Name | Restorative Medical Pc |
|---|---|
| Speciality | General Practice |
| Location | 3596 Skyway Dr Ste B, Santa Maria, California |
| Authorized Official Name and Position | Matthew Egbert (CEO) |
| Authorized Official Contact | 8056147820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Medical Pc 3596 Skyway Dr Ste B Santa Maria CA 93455-2514 Ph: (805) 614-7820 | Restorative Medical Pc 3596 Skyway Dr Ste B Santa Maria CA 93455-2514 Ph: (805) 614-7820 |
| NPI Number | 1053872713 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 1355678905 |
|---|---|
| Medicare Enrollment ID | O20190806001514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053872713 | NPI | - | NPPES |
| 1205806874 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Matthew R Egbert |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205806874 PECOS PAC ID: 7911898549 Enrollment ID: I20040323001197 |
| Provider Name | Tina M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073958070 PECOS PAC ID: 6800102039 Enrollment ID: I20150902000457 |
| Provider Name | Tabitha Elise Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811558042 PECOS PAC ID: 8325469893 Enrollment ID: I20200609002375 |
Santa Barbara County Auditor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Morrison Ave, Santa Maria, CA 93458 Phone: 805-347-3338 | |
Pacific Central Coast Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2271 S Depot St, Santa Maria, CA 93455 Phone: 805-922-0561 Fax: 805-922-0083 | |
Santa Barbara County Auditor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2115 Centerpointe Pkwy, Santa Maria, CA 93455 Phone: 805-346-7230 Fax: 805-346-8449 | |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 | |
Pacific Central Coast Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1745 N Broadway Ste 101, Santa Maria, CA 93454 Phone: 805-739-3890 Fax: 805-347-7697 |