SESPE MEDICAL, INC. (NPI# 1336385244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336385244 |
| Entity Type | Organization |
| Organization Name | SESPE MEDICAL, INC. |
| Practice Address |
552 Sespe Ave Fillmore CA 93015 |
| Practice Telephone | 8055242559 |
| Practice Fax Number | 8055242596 |
| Mailing Telephone | 8055242559 |
| Mailing Fax Number | 8055242596 |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | DR. JOSE LUIS BAUTISTA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5592717292 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
552 SESPE AVE |
| City | FILLMORE |
| State | CA |
| Zip Code | 93015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467425637 | Edna Ann Dean | Physician Assistant | 552 Sespe Ave, Fillmore, CA 93015-1957 | 2006-02-09 |
| 1629694997 | Basso Pharmacy, Inc. | Pharmacy | 552 Sespe Ave, Fillmore, CA 93015-1957 | 2020-06-22 |
| 1851344394 | Swanner & Associates Physical Therapy, Inc | Clinic/Center | 552 Sespe Ave, Ste. B, Fillmore, CA 93015-1957 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003471830 | Sarah Jeanette Ettinger | Student in an Organized Health Care Education/Training Program | Sbcd, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1518522341 | Elizabeth Pandian | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1407350549 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 328 Central Ave, Fillmore, CA 93015 | 2018-03-22 |
| 1366689358 | Kelly Lynn Brooks | Physician Assistant | 828 Ventura St Ste 100, Fillmore, CA 93015 | 2009-01-13 |
| 1356560718 | Ventura County Behavioral Health | Community/Behavioral Health | 828 W Ventura St Ste 240, Fillmore, CA 93015 | 2007-04-24 |
| 1487726766 | Alejandro Echeverry | Dentist | 1317 Ventura St, Suite C, Fillmore, CA 93015 | 2006-11-14 |
| 1265545321 | Nasr N Anees | Family Medicine | 355 Central Avenue, Clinicas Del Camino Real, Inc, Fillmore, CA 93015 | 2006-08-15 |
| 1487219358 | Roxana Ardebili | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1235794009 | Philip Wan | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1679138531 | Gretel Dayna D'souza | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| Find all providers in zip 93015 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437182151 | Christine Marie Johnston Md Inc | Clinic/Center | 552 Sespe Ave Ste C, Fillmore, CA 93015-1954 | 2006-07-08 |
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| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
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| Find all providers with the same taxonomy | ||||
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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.