LAWRENCE E VONDOLLEN (NPI# 1023109048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023109048 |
Entity Type | Individual |
Full Name | LAWRENCE E VONDOLLEN |
Credential | MD, FACC |
Practice Address |
295 Posada Ln Ste A Templeton CA 93465-4055 |
Mailing Address |
1941 Johnson Ave Ste 101 San Luis Obispo CA 93401-4154 |
Practice Telephone | 8057828844 |
Practice Fax Number | 8057828859 |
Mailing Telephone | 8057828844 |
Mailing Fax Number | 8057828859 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2018-12-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G44009 | CA | Allopathic & Osteopathic Physicians |
N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
G44009C | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0068680 | 05 | |
CA | RAILROAD MEDICARE | 060044244 | 01 |
CA | BLUE SHIELD | ZZZ28458Z | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1100 Las Tablas Rd, Templeton, CA 934659704 | 8054343500 | |
1941 Johnson Ave Ste 102, San Luis Obispo, CA 934014174 | 8057828844 | 8057828859 |
Street Address |
295 POSADA LN STE A |
City | TEMPLETON |
State | CA |
Zip Code | 93465-4055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205836954 | Roman Platon Bukachevsky | Otolaryngology | 295 Posada Ln, Suite B, Templeton, CA 93465-4055 | 2005-07-22 |
1447471883 | Libby A Kerr | Registered Nurse | 295 Posada Ln, Suite C, Templeton, CA 93465-4055 | 2007-05-02 |
1528195625 | Roman P. Bukachevsky, Md, Inc | Specialist | 295 Posada Ln, Suite B, Templeton, CA 93465-4055 | 2007-02-27 |
1013085810 | Andrew S Dennish | Internal Medicine | 295 Posada Ln, Suite A, Templeton, CA 93465 | 2006-12-01 |
1083671358 | Central Coast Facial Surgery Center | Clinic/Center | 295 Posada Ln, Suite B, Templeton, CA 93465-4055 | 2006-04-28 |
1104805837 | Michael L Wiechmann | Internal Medicine | 295 Posada Ln, Ste A, Templeton, CA 93465 | 2006-01-11 |
1821081043 | Steven Jerome Mcallen | Internal Medicine | 295 Posada Ln, Suite C, Templeton, CA 93465-4055 | 2005-08-23 |
1013909811 | Shannon M Berry | Internal Medicine | 295 Posada Ln, Suite D, Templeton, CA 93465-4055 | 2005-08-17 |
1790777506 | Julie C Fallon | Internal Medicine | 295 Posada Ln, Suite D, Templeton, CA 93465-4055 | 2005-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346773306 | Edward Delos Trino | Nurse Practitioner | 350 Posada Ln # 102, Templeton, CA 93465 | 2017-04-06 |
1497102883 | Miriam Castillo | Counselor | 44 Brewer St, Templeton, CA 93465 | 2016-05-16 |
1013395821 | Marna Moore-barr | Registered Nurse | 90 Dandelion Ln, Templeton, CA 93465 | 2015-05-12 |
1396007308 | Melissa Lee Gaidis | Psychologist | 225 Posada Lane, Suite L, Templeton, CA 93465 | 2012-06-14 |
1033418736 | Central Coast Associated Physicians, Inc. | Internal Medicine | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465 | 2011-03-21 |
1922306281 | Benjamin Ernest Bartel | Counselor | 1827 Orlen Lane, Templeton, CA 93465 | 2011-03-09 |
1003116674 | Tiffney Taylor | Internal Medicine | 265 Posada Ln Ste B, Templeton, CA 93465 | 2010-10-28 |
1124355342 | Mary Christine Schaff | Nurse Practitioner | 1111 Las Tablas Rd., Ste. M, Templeton, CA 93465 | 2009-11-09 |
1417196890 | Liberty Michael Romig | Marriage & Family Therapist | 318 Crocker Street, Templeton, CA 93465 | 2009-02-09 |
1427212273 | Linda Kay Shaleen | Social Worker | 212 Main Street Suite 201, Templeton, CA 93465 | 2008-07-10 |
Find all providers in zip 93465 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689836504 | Coastal Cardiology A Medical Corp | Internal Medicine | 295 Posada Lane Suite A, Templeton, CA 93465-4055 | 2008-07-01 |
1013085810 | Andrew S Dennish | Internal Medicine | 295 Posada Ln, Suite A, Templeton, CA 93465 | 2006-12-01 |
1104805837 | Michael L Wiechmann | Internal Medicine | 295 Posada Ln, Ste A, Templeton, CA 93465 | 2006-01-11 |
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1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.