VAGINAL AND PELVIC SURGEONS, INC (NPI# 1164077566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164077566 |
| Entity Type | Organization |
| Organization Name | VAGINAL AND PELVIC SURGEONS, INC |
| Practice Address |
1325 E Church St Santa Maria CA 93454-5909 |
| Mailing Address |
461 Islay St San Luis Obispo CA 93401-4341 |
| Practice Telephone | 8052194673 |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2019-08-03 |
| Authorized Official Name | DR. CHRISTOPHER LUTMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6143157976 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| Street Address |
1325 E CHURCH ST |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-5909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232578 | Robert Andrew Dichmann | Internal Medicine | 1325 E Church St, Ste. 301, Santa Maria, CA 93454 | 2005-05-31 |
| 1265789721 | Pacific Central Coast Health Centers | Clinic/Center | 1325 E Church St, Suite 202, Santa Maria, CA 93454-5909 | 2012-08-14 |
| 1194964932 | Eileen Lussier | Psychologist | 1325 E Church St, 207, Mailbox 12, Santa Maria, CA 93454-5909 | 2009-02-18 |
| 1336331289 | Jeffrey Kai Wu | Radiology | 1325 E Church St, Suite 101, Santa Maria, CA 93454-5909 | 2007-08-14 |
| 1356545818 | Stephen John Vara | Internal Medicine | 1325 E Church St, Ste. 301, Santa Maria, CA 93454-5909 | 2007-06-11 |
| 1235168337 | Surgical Specialists A Medical Corporation | Surgery | 1325 E Church St, Suite 204, Santa Maria, CA 93454-5909 | 2006-07-01 |
| 1073569026 | Cheryl Durstein-decker | Specialist | 1325 E Church St, Suite 202, Santa Maria, CA 93454-5909 | 2006-05-25 |
| 1124078282 | Han Soo Kim | Surgery | 1325 E Church St, Suite 204, Santa Maria, CA 93454 | 2006-05-11 |
| 1588668271 | Central Coast Medical Oncology Corp | Radiology | 1325 E Church St, Ste. 301, Santa Maria, CA 93454 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478712 | Iliana Garcia | Clinic/Center | 725 Welch Rd Rm 2570, Palo Alto, CA 94304-1614 | 2020-05-08 |
| 1831597061 | Jiyun Jean Kwon | Clinic/Center | 1670 East 120th Street, Mlk Oc Pharmacy, Los Angeles, CA 90059 | 2014-12-22 |
| 1215189709 | Martin J Cline | Clinic/Center | 6901 Panoramic Highway, Stinson Beach, CA 94970-0905 | 2008-10-16 |
| 1477603983 | Epeius Biotechnologies Corporation | Clinic/Center | 475 Huntington Dr, San Marino, CA 91108-2358 | 2007-01-10 |
| 1063486025 | Sequoia Oncology Medical Assoc | Clinic/Center | 857 Garner Ave, Hanford, CA 93230 | 2006-02-15 |
| 1265405328 | Sequoia Oncology Medical Assoc | Clinic/Center | 4945 W Cypress Ave, Ste C, Visalia, CA 93277 | 2006-02-09 |
| 1558823518 | City of Hope Medical Foundation | Clinic/Center | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2019-04-01 |
| 1356848584 | Colton Health LLC | Clinic/Center | 480 Fourth Ave Ste 409, Chula Vista, CA 91910-4413 | 2018-04-13 |
| 1326566431 | Regents Univ of Calif of Los Angeles | Clinic/Center | 200 Medical Plaza Suite 120, Los Angeles, CA 90095-0001 | 2017-09-08 |
| 1629528880 | Kaiser Permanente | Clinic/Center | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2016-10-11 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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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.