| Santa Maria Gastroenterology Medical Group Inc. | |
|
1311 S Miller St 100 Santa Maria CA 93454-6900 | |
| (805) 922-6991 | |
| (805) 922-7052 |
| Full Name | Santa Maria Gastroenterology Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1311 S Miller St, Santa Maria, California |
| Authorized Official Name and Position | Eric W Jahnke (PARTNER) |
| Authorized Official Contact | 8059226991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Gastroenterology Medical Group Inc. 1311 S Miller St 100 Santa Maria CA 93454-6900 Ph: (805) 922-6991 | Santa Maria Gastroenterology Medical Group Inc. 1311 S Miller St 100 Santa Maria CA 93454-6900 Ph: (805) 922-6991 |
| NPI Number | 1386971687 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 07/23/2012 |
| Medicare PECOS PAC ID | 6709070964 |
|---|---|
| Medicare Enrollment ID | O20101101001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386971687 | NPI | - | NPPES |
| DS163A | Other | CA | PTAN |
| CLM 00342820 | Other | CA | CLIA |
| 1386971687 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Eric W Jahnke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134195977 PECOS PAC ID: 4789597642 Enrollment ID: I20040625000625 |
| Provider Name | Stacie Connors |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710915285 PECOS PAC ID: 6305811712 Enrollment ID: I20040830000561 |
| Provider Name | Paramjit Singh Benipal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306803572 PECOS PAC ID: 6204890965 Enrollment ID: I20041115000577 |
| Provider Name | Karen Furey Geise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639358104 PECOS PAC ID: 3173589140 Enrollment ID: I20041202000252 |
| Provider Name | Jill E Renfro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427067909 PECOS PAC ID: 7810969797 Enrollment ID: I20050201000381 |
| Provider Name | Sharon L Puita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780661512 PECOS PAC ID: 0143259341 Enrollment ID: I20050808001219 |
| Provider Name | Margaret A Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245206184 PECOS PAC ID: 6406887058 Enrollment ID: I20050824000306 |
| Provider Name | Kevin L Ferguson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801823067 PECOS PAC ID: 4284658642 Enrollment ID: I20060124000870 |
| Provider Name | Sukhpreet S Walia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316120157 PECOS PAC ID: 0042378077 Enrollment ID: I20081021000193 |
| Provider Name | Thomas P Hsia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508894486 PECOS PAC ID: 9436062395 Enrollment ID: I20081024000223 |
| Provider Name | Atul Vachhani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609890748 PECOS PAC ID: 5698788347 Enrollment ID: I20081027000794 |
| Provider Name | Robert Evans |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194936625 PECOS PAC ID: 2567528821 Enrollment ID: I20100903000954 |
| Provider Name | Igor J Nastaskin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619014776 PECOS PAC ID: 2668664285 Enrollment ID: I20101014000114 |
| Provider Name | Johanna L Moore |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851427595 PECOS PAC ID: 8022287457 Enrollment ID: I20110801000745 |
| Provider Name | Jane P O'brien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497053649 PECOS PAC ID: 5890967889 Enrollment ID: I20111018000167 |
| Provider Name | Ann C Cairns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942279203 PECOS PAC ID: 4981656063 Enrollment ID: I20140120000345 |
| Provider Name | Elizabeth Lenihan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164528311 PECOS PAC ID: 5395841852 Enrollment ID: I20140224000448 |
| Provider Name | James M Lindsey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710105309 PECOS PAC ID: 7719118017 Enrollment ID: I20140610001159 |
| Provider Name | Rachel R Metzger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447679014 PECOS PAC ID: 8820213028 Enrollment ID: I20140701002545 |
| Provider Name | Kali Freeman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427375625 PECOS PAC ID: 6901023597 Enrollment ID: I20140805001250 |
| Provider Name | Janet Leigh Vaughn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831587989 PECOS PAC ID: 7012231475 Enrollment ID: I20150114000317 |
| Provider Name | Sari Winans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649677402 PECOS PAC ID: 3173840394 Enrollment ID: I20150327002158 |
| Provider Name | Vijay A George |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952637118 PECOS PAC ID: 5496986960 Enrollment ID: I20150729008544 |
| Provider Name | Sanae Chance |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710051065 PECOS PAC ID: 6406760909 Enrollment ID: I20160524000555 |
| Provider Name | Keval Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093035917 PECOS PAC ID: 4284872102 Enrollment ID: I20160926000677 |
| Provider Name | Klaus Theodor Gottlieb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508832387 PECOS PAC ID: 8224022124 Enrollment ID: I20170405002194 |
| Provider Name | Romel C Castro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972040756 PECOS PAC ID: 9436427770 Enrollment ID: I20170609001927 |
| Provider Name | Amanda S White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073055059 PECOS PAC ID: 8820377310 Enrollment ID: I20180123003216 |
| Provider Name | Laura L Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184196719 PECOS PAC ID: 7315285046 Enrollment ID: I20190205001715 |
| Provider Name | Teresa Ann Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144887530 PECOS PAC ID: 0143551473 Enrollment ID: I20191017000319 |
| Provider Name | Andreina K Stevenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992321541 PECOS PAC ID: 7315360187 Enrollment ID: I20200713001512 |
| Provider Name | Brooke A Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104398478 PECOS PAC ID: 0648519967 Enrollment ID: I20200804002024 |
| Provider Name | Barbara S Kamps |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063414290 PECOS PAC ID: 3870544216 Enrollment ID: I20201016001391 |
| Provider Name | Stephanie Crowder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225540297 PECOS PAC ID: 3274896873 Enrollment ID: I20221005001445 |
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 | |
Santa Barbara County Public Health Dept-santa Maria Health Care Center 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 | |
Restorative Spine & Joint Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3596 Skyway Dr Ste B, Santa Maria, CA 93455 Phone: 805-614-7820 | |
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 | |
Marian Community Clinic 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 |