MR. ANDREW M. FAIRBURN (NPI# 1245442342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245442342 |
| Entity Type | Individual |
| Full Name | MR. ANDREW M. FAIRBURN |
| Credential | PA-C |
| Practice Address |
430 S Blosser Rd Santa Maria CA 93458-4908 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8053618900 |
| Practice Fax Number | 8053618990 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA19301 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
430 S BLOSSER RD |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596963 | Victor Manuel Guerrero | Internal Medicine | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2005-08-25 |
| 1427545698 | Robert Francis Hernandez | Nurse Practitioner | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2018-04-13 |
| 1316456924 | James Costantino IIi | Physician Assistant | 430 S Blosser Rd, Santa Maria, CA 93458 | 2017-09-26 |
| 1619486529 | Carlos Guerrero | Social Worker | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2017-09-22 |
| 1417476060 | Erika Fromhold | Nurse Practitioner | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2017-09-14 |
| 1659803286 | Jacquelyn Hyde | Family Medicine | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2017-04-02 |
| 1326588450 | Erika Gabriela La Frano | Social Worker | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2017-03-08 |
| 1902288749 | Alaa Shaban | Pediatrics | 430 S Blosser Rd, Santa Maria, CA 93458 | 2015-06-28 |
| 1174911317 | Community Health Centers of The Central Coast Inc | Clinic/Center | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2014-12-22 |
| 1336562974 | Esther Grizelda Toe-mcpherson | Nurse Practitioner | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2014-02-03 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1043560915 | Kelly J. Piazza | Physician Assistant | 1510 E Main St Ste 101, Santa Maria, CA 93454-4826 | 2012-09-18 |
| 1205106200 | Margarethe Sattva Pappademos | Physician Assistant | 525 E Plaza Drive, Suite 200, Santa Maria, CA 93454-6954 | 2012-01-06 |
| 1407159429 | Jenny Oleta Andrews | Physician Assistant | 316 S Stratford Ave Ste B, Santa Maria, CA 93454 | 2010-12-14 |
| 1902022890 | Coast Family Practice | Physician Assistant | 607 Plaza Dr, Suite C201, Santa Maria, CA 93454-6944 | 2007-04-18 |
| 1497806921 | Laura Ann Rummel | Physician Assistant | 525 Plaza Dr Ste 200, Santa Maria, CA 93454-6954 | 2007-01-12 |
| 1407969835 | Mari Proksel | Physician Assistant | 117 West Bunny Avenue, Santa Maria, CA 93458-2805 | 2006-08-17 |
| 1255360772 | Dana J. Shaheen | Physician Assistant | 2271 S. Depot Street, Santa Maria, CA 93455 | 2006-06-30 |
| 1992798706 | Debora Marie Moore | Physician Assistant | 2342 Professional Pkwy Ste 310, Santa Maria, CA 93455-6819 | 2005-08-26 |
| 1821080060 | Anne V Hall | Physician Assistant | 300 S Stratford Ave, Santa Maria, CA 93454-5903 | 2005-08-15 |
| 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.