ENT MEDICAL AND SURGICAL CARE


Address: 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883
Phone: 8054393250

ENT MEDICAL AND SURGICAL CARE (NPI# 1033680996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033680996
Entity Type Organization
Organization Name ENT MEDICAL AND SURGICAL CARE
Practice Address 100 Casa St Ste B100
San Luis Obispo
CA 93405-1883
Practice Telephone 8054393250
Practice Fax Number 8558663725
Mailing Telephone 8054393250
Mailing Fax Number 8558663725
Enumeration Date 2018-12-17
Last Update Date 2018-12-17
Authorized Official Name DAVID LEVIN (CEO)
Authorized Official Telephone 8054393250
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 1366679516 05

Office Location

Street Address 100 CASA ST STE B100
City SAN LUIS OBISPO
State CA
Zip Code 93405-1883

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164076626 Hilary Abbott Anderson Physician Assistant 127 Casa St., San Luis Obispo, CA 93405 2019-08-01
1811465834 Fatemeh Ladan Ahmadinia Dentist 764 N Santa Rosa St, San Luis Obispo, CA 93405 2018-11-07
1538559794 Arnold Martin Horwitz Marriage & Family Therapist 1605 Garnette Drive, San Luis Obispo, CA 93405 2015-01-27
1750794764 Solmaz Naghsh Pharmacist 765 Foothill Blvd, San Luis Obispo, CA 93405 2014-06-06
1609293471 Robert S. Flores Dmd, Inc Dentist 878 Boysen Avenue, San Luis Obispo, CA 93405 2014-03-18
1457776445 Laura Anne Wilvert Marriage & Family Therapist 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 2014-02-27
1497181200 Tracey Ruby Madrigal Counselor 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 2013-09-25
1437597572 Sarah Michelle Brenis Counselor 524 Princeton Place, San Luis Obispo, CA 93405 2013-06-11
1013350974 Jenna Rose Ramos Counselor 1459 Descanso St., San Luis Obispo, CA 93405 2013-04-10
1700140696 Christopher Dieterich Marchand Social Worker 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 2012-06-26
Find all providers in zip 93405

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518910272 John T Mcmahan Otolaryngology 100 Casa St Ste B, San Luis Obispo, CA 93405-8803 2006-05-17
1750852810 Ent Medical and Surgical Care A Professional Corporation Otolaryngology 100 Casa St Ste B, San Luis Obispo, CA 93405-8803 2018-12-16
1366679516 David Jackson Levin Otolaryngology 100 Casa St Ste B, San Luis Obispo, CA 93405-8803 2009-06-15
1558461418 Central Coast Ear Nose and Throat Associates Otolaryngology 1035 Peach St, Suite 301, San Luis Obispo, CA 93401-2700 2006-09-22
1023007507 William J. Watson Otolaryngology 1035 Peach St, Suite 301, San Luis Obispo, CA 93401-2700 2005-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548877590 Sleep Apnea Surgery Center Inc. Otolaryngology 1900 University Avenue, East Palo Alto, CA 94303 2020-09-24
1922613207 Resurgent Head and Neck Surgeons, Inc. Otolaryngology 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 2020-09-13
1427682764 Angela A Chang Md A Professional Corporation Otolaryngology 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 2020-02-25
1376176164 Jaime Munroe Otolaryngology 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 2020-02-19
1003389107 James Jaber Md A Medical Corporation Otolaryngology 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 2019-01-10
1477041952 Ira Harold Buchalter Otolaryngology 2029 Tempranillo Ln, Brentwood, CA 94513-5291 2018-04-30
1316435670 Gregory E. Washington, M.d., A Medical Corporation Otolaryngology 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 2018-04-23
1447756069 Anthony Ernest Sanchez Otolaryngology 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 2018-04-03
1710480140 Jill Mazza, M.d., A Professional Corporation Otolaryngology 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 2018-03-12
1790284347 Veeral Patel Otolaryngology 18335 Stanislaus St, Fountain Valley, CA 92708-6843 2018-02-09
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Competitor

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City SAN LUIS OBISPO
Zip Code 93405

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Dataset Information

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.

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