MIDCOAST CARDIOVASCULAR ASSOCIATES (NPI# 1659652303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659652303 |
| Entity Type | Organization |
| Organization Name | MIDCOAST CARDIOVASCULAR ASSOCIATES |
| Practice Address |
220 S Palisade Dr Suite # 101 Santa Maria CA 93454-8902 |
| Practice Telephone | 8053540112 |
| Practice Fax Number | 8053540234 |
| Mailing Telephone | 8053540112 |
| Mailing Fax Number | 8053540234 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | MARK L GINKEL (PRESIDENT) |
| Authorized Official Telephone | 8053540112 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G71322 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G71322 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | FM385A | 01 |
| CA | BLUE SHIELD PIN | ZZZ68791Y | 01 |
| Street Address |
220 S PALISADE DR SUITE # 101 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-8902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272766 | Mark L Ginkel | Internal Medicine | 220 S Palisade Dr, Suite # 101, Santa Maria, CA 93454-8902 | 2005-06-01 |
| 1588079883 | Pacific Central Coast Health Centers | Clinic/Center | 220 S Palisade Dr, Suite 201, Santa Maria, CA 93454-8902 | 2014-06-25 |
| 1770997033 | Pacific Central Coast Health Centers | Clinic/Center | 220 S Palisade Dr, Suite 204, Santa Maria, CA 93454-8902 | 2014-06-16 |
| 1144660499 | Anne Tarleton Dougherty | Genetic Counselor, MS | 220 S Palisade Dr, Suite 201, Santa Maria, CA 93454-8902 | 2013-07-01 |
| 1205187804 | Pacific Central Coast Health Centers | Clinic/Center | 220 S Palisade Dr, Suite 201, Santa Maria, CA 93454-8902 | 2012-09-24 |
| 1598038242 | Central Coast Obstetrics and Gynecology | Obstetrics & Gynecology | 220 S Palisade Dr, Ste 204, Santa Maria, CA 93454-8902 | 2012-02-10 |
| 1134359284 | Miracle-ear, Inc. | Audiologist-Hearing Aid Fitter | 220 S Palisade Dr, Ste 100, Santa Maria, CA 93454-8902 | 2009-07-23 |
| 1457539868 | Raymund J. Llaurado, Md, Inc. | Otolaryngology | 220 S Palisade Dr, Suite 102, Santa Maria, CA 93454-8902 | 2008-02-07 |
| 1073791422 | Alain M Hurdle, Md, Inc | Otolaryngology | 220 S Palisade Dr, Suite 102, Santa Maria, CA 93454-8902 | 2008-02-07 |
| 1316146996 | My T. Dinh | Obstetrics & Gynecology | 220 S Palisade Dr, Suite 104, Santa Maria, CA 93454-8902 | 2007-07-13 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952677379 | Kishor D Popat, Md, A Professional Corp. | Internal Medicine | 1505 Shepard Dr, Ste 203, Santa Maria, CA 93454-7020 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on MIDCOAST CARDIOVASCULAR ASSOCIATES.
| 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.