NATIONWIDE MEDICAL GROUP, INC (NPI# 1457408858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457408858 |
| Entity Type | Organization |
| Organization Name | NATIONWIDE MEDICAL GROUP, INC |
| Practice Address |
115 E Fesler St Santa Maria CA 93454-4404 |
| Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
| Practice Telephone | 8059226597 |
| Practice Fax Number | 8059225978 |
| Mailing Telephone | 8182060360 |
| Mailing Fax Number | 8182060383 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DR. GEORGE GIRGIS (DIRECTOR) |
| Authorized Official Telephone | 6618619967 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0087161 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578614525 | Nationwide Medical Group, Inc | Clinic/Center | 1343 W Main Street, Suites A&b, Merced, CA 95340-4438 | 2007-01-16 |
| 1174671549 | Nationwide Medical Group, Inc | Clinic/Center | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2007-01-08 |
| 1538216916 | Nationwide Medical Group, Inc | Clinic/Center | 125 West F Street, Suite 101, Ontario, CA 91762-3262 | 2007-01-05 |
| 1699822098 | Nationwide Medical Group, Inc | Clinic/Center | 1133 Coloma Way Ste C, Roseville, CA 95661-4480 | 2007-01-05 |
| 1760539183 | Nationwide Medical Group, Inc | Clinic/Center | 1825 E Thelborn Street, West Covina, CA 91791 | 2007-01-05 |
| 1578610986 | Nationwide Medical Group, Inc | Clinic/Center | 2650 Jones Way Suite 10, Simi Valley, CA 93065-1203 | 2007-01-05 |
| 1851448435 | Nationwide Medical Group, Inc | Clinic/Center | 14240 E Imperial Hwy, La Mirada, CA 90638-1940 | 2007-01-04 |
| 1952458523 | Nationwide Medical Group, Inc | Clinic/Center | 614 W Manchester Blvd Ste 104, Inglewood, CA 90301-1683 | 2007-01-04 |
| 1740337120 | Nationwide Medical Group, Inc | Clinic/Center | 103 Modesto Ave, Modesto, CA 95354-0414 | 2007-01-05 |
| 1629125059 | Nationwide Medical Group, Inc | Clinic/Center | 2321 Pontius Ave, Los Angeles, CA 90064-1809 | 2007-01-05 |
| Street Address |
115 E FESLER ST |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003972654 | Aegis Treatment Centers, LLC | Clinic/Center | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2006-12-28 |
| 1528601002 | Mia Alexander | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-10-28 |
| 1053962480 | Tabitha Wambaa | Licensed Psychiatric Technician | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-09-26 |
| 1053962969 | James Owen Fitzmaurice | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-09-23 |
| 1437705696 | Linda Platt Mintz | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-08-14 |
| 1447816434 | Dwayne Franklin Newman | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2019-05-15 |
| 1457823643 | Evan Joseph Dougherty | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2018-12-28 |
| 1053881383 | Mark Bocock | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2018-11-29 |
| 1629547799 | Benjamin Aguayo | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2018-11-19 |
| 1255806709 | Veronica Dominguez | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2018-10-11 |
| Find all providers in the same location | ||||
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523990 | Pacific Central Coast Health Centers | Clinic/Center | 2271 S Depot St, Santa Maria, CA 93455-1216 | 2017-12-13 |
| 1306225941 | Pacific Central Coast Health Centers | Clinic/Center | 1102 E Clark Ave, Suite 120a, Santa Maria, CA 93455-5174 | 2015-05-28 |
| 1861791378 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 210 N Broadway, Santa Maria, CA 93454-4415 | 2011-03-23 |
| 1811914674 | Planned Parenthood California Central Coast | Clinic/Center | 415 East Chapel Street, Santa Maria, CA 93454 | 2006-07-17 |
| 1063496651 | Pacific Central Coast Health Centers | Clinic/Center | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2005-12-06 |
| 1821610239 | Pacific Central Coast Health Centers | Clinic/Center | 1300 E Cypress St Ste B1, Santa Maria, CA 93454-4730 | 2020-05-08 |
| 1306319595 | Pacific Central Coast Health Centers | Clinic/Center | 1325 E Church St Ste 301, Santa Maria, CA 93454-5915 | 2019-01-10 |
| 1417462375 | Pacific Central Coast Health Centers | Clinic/Center | 2880 Santa Maria Way, Santa Maria, CA 93455-2103 | 2017-12-13 |
| 1265806020 | Pacific Central Coast Health Centers | Clinic/Center | 206 S Stratford Ave, Suite B, Santa Maria, CA 93454-5901 | 2015-11-17 |
| 1760861306 | Pacific Central Coast Health Centers | Clinic/Center | 5075 S Bradley Rd, Suite 131, Santa Maria, CA 93455-5077 | 2015-05-28 |
| Find all providers in SANTA MARIA | ||||
| 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.