Specialty Medical Group Central California - Dept Of San Luis Obispo
Pediatrics
Specialty Medical Group Central California - Dept Of San Luis Obispo is a San Luis Obispo, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1010 Murray Ave, San Luis Obispo, California - 93405-1806. They can be contacted on phone at
805-546-7766 and fax number 805-546-7932.
NPI number (Unique professional ID) for Specialty Medical Group Central California - Dept Of San Luis Obispo is
1508182833 which was assigned by NPPES on 12 Apr, 2010 and it was last updated on 28 Jun, 2013.
Specialty Medical Group Central California - Dept Of San Luis Obispo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Specialty Medical Group Central California - Dept Of San Luis Obispo basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Specialty Medical Group Central California - Dept Of San Luis Obispo |
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Business Address:
Specialty Medical Group Central California - Dept Of San Luis Obispo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1010 Murray Ave
San Luis Obispo, CA, 93405-1806
United States |
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| Phone Number : | 805-546-7766 |
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| Fax Number : | 805-546-7932 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508182833 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Apr, 2010 |
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| Last Updated On : | 28 Jun, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Devonnam. Kaji |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT & MEDICAL DIRECTOR |
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| Phone Number : | 559-353-5700 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Specialty Medical Group Central California - Dept Of San Luis Obispo are as mentioned. Primary taxonomy code for Specialty Medical Group Central California - Dept Of San Luis Obispo is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | CA |
Legacy Identifiers:
Other legacy medical identifiers of Specialty Medical Group Central California - Dept Of San Luis Obispo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0078680 | MEDICAID | CA | |
| ZZZ13884Z | Other | CA | MEDICARE GROUP |
| 1013968296 | Other | CA | GROUP NPI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9300 Valley Childrens Pl
Madera, CA, 93636-8761
United States |
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| Phone Number : | 559-353-5700 |
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| Fax Number : | 559-353-5708 |
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Business Location:
Patients can refer following map for directions to
Specialty Medical Group Central California - Dept Of San Luis Obispo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.