DR. MARK ATARIUS SANDQUIST (NPI# 1194757880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194757880 |
| Entity Type | Individual |
| Full Name | DR. MARK ATARIUS SANDQUIST |
| Credential | M.D. |
| Practice Address |
117 W Bunny Ave Santa Maria CA 93458-2805 |
| Mailing Address |
155 Big Canyon Ct Arroyo Grande CA 93420-5101 |
| Practice Telephone | 8057393890 |
| Practice Fax Number | 8053477697 |
| Mailing Telephone | 8054734643 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G86739 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G867390 | 05 |
| Street Address |
117 W BUNNY AVE |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496651 | Pacific Central Coast Health Centers | Clinic/Center | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2005-12-06 |
| 1699323386 | Elizabeth Mikus | Nurse Practitioner | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2019-08-27 |
| 1003347808 | Jaime Acosta Berrios | Family Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2017-03-23 |
| 1912301730 | Pacific Central Coast Health Centers | Family Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2014-10-22 |
| 1205141926 | Shelley Anne Wheeler | Dietitian, Registered | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2010-08-18 |
| 1306022132 | Leticia L Burdumy | Registered Nurse | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2008-01-10 |
| 1689854044 | Jeremy John Espino | Physician Assistant | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2007-11-13 |
| 1013949791 | Paul A Lussier | Internal Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| 1154353829 | Mohamed Fekry Al-sadek | Internal Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| 1811929516 | Joseph Stephen Yorke | Internal Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619357092 | Rachel Zonca | Family Medicine | 915 E Stowell Rd Ste C, Santa Maria, CA 93454-7010 | 2015-06-01 |
| 1033522404 | Farnaz Pirayesh | Family Medicine | 5075 S Bradley Rd Ste 131, Santa Maria, CA 93455-5077 | 2014-06-03 |
| 1538402813 | Eric G. Levy Medical Corporation | Family Medicine | 525 East Plaza Dr., Suite 300, Santa Maria, CA 93454-6955 | 2013-04-04 |
| 1235365891 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 821 E Chapel St Ste 103, Santa Maria, CA 93454-4618 | 2009-06-09 |
| 1750558219 | Coast Family Practice | Family Medicine | 607 E Plaza Dr Ste C-201, Santa Maria, CA 93454-6944 | 2008-05-14 |
| 1215125042 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 915 E Stowell Rd Ste B, Santa Maria, CA 93454-7010 | 2007-10-05 |
| 1194913921 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 220 S Palisade Dr Ste 104b, Santa Maria, CA 93454-5931 | 2007-10-05 |
| 1679791578 | Diana Garza Garcia | Family Medicine | 117 West Bunny Ave, Santa Maria, CA 93458-2805 | 2007-04-23 |
| 1629292958 | Karen R. Moyes | Family Medicine | 5121 Depot St, Santa Maria, CA 93454-9652 | 2007-04-11 |
| 1962625673 | Tirso Bustamante | Family Medicine | 938 E Main St, Santa Maria, CA 93454-5331 | 2007-04-11 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
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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.