DR. KELLIE A DELOZIER (NPI# 1679609283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679609283 |
| Entity Type | Individual |
| Full Name | DR. KELLIE A DELOZIER |
| Credential | MD |
| Practice Address |
116 South Palisade Drive Suite 104 Santa Maria CA 93454-8905 |
| Mailing Address |
751 E Daily Dr Ste 120 Camarillo CA 93010-6004 |
| Practice Telephone | 8057393957 |
| Practice Fax Number | 8057393958 |
| Mailing Telephone | 8052567810 |
| Mailing Fax Number | 8052567840 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C55521 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | C55521 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE ID | CB242139 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 N Rose Ave, Oxnard, CA 930303722 | 8052567810 | 8052567840 |
| 2309 Antonio Ave, Camarillo, CA 930101414 | 8052567810 | 8052567840 |
| Street Address |
116 SOUTH PALISADE DRIVE SUITE 104 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295741668 | Laurence E Shields | Obstetrics & Gynecology | 116 South Palisade Drive, Suite 104, Santa Maria, CA 93454-8905 | 2006-07-31 |
| 1720320880 | Katrina Yoder | Dietitian, Registered | 116 South Palisade Drive, Suite 104, Santa Maria, CA 93454-8905 | 2013-03-26 |
| 1386871515 | George E Johnson | Obstetrics & Gynecology | 116 South Palisade Drive, Suite 104, Santa Maria, CA 93454-8905 | 2009-06-15 |
| 1174614036 | Eli S Zinner | Obstetrics & Gynecology | 116 South Palisade Drive, Suite 104, Santa Maria, CA 93454-8905 | 2006-09-27 |
| 1881703759 | Mary Kosko Oates | Physical Medicine & Rehabilitation | 116 South Palisade Drive, Suite 200, Santa Maria, CA 93454-8905 | 2006-08-30 |
| 1700999596 | Sharon Christine Elliston | Dietitian, Registered | 116 South Palisade Drive, Suite 104, Santa Maria, CA 93454-8905 | 2006-08-16 |
| 1841202710 | Paul Christopher Parker | Pediatrics | 116 South Palisade Drive, Suite 104, Santa Maria, CA 93454-8905 | 2006-08-12 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689969412 | Anne Kristen Kennard | Obstetrics & Gynecology | 220 S. Palisade Drive, Suite 203, Santa Maria, CA 93454 | 2011-06-09 |
| 1770762353 | Wanda J. Spencer, M.d., A Professional Corporation | Obstetrics & Gynecology | 801 E. Chapel St., Suite #2, Santa Maria, CA 93454-4607 | 2007-10-30 |
| 1225112931 | Tad Patrick Callahan | Obstetrics & Gynecology | 210 S Palisade Dr Ste 101, Santa Maria, CA 93454-5932 | 2006-10-25 |
| 1831153261 | Charla Rouchleau Morgan | Obstetrics & Gynecology | 1418 E Main St Ste 210, Santa Maria, CA 93454-4836 | 2006-04-13 |
| 1801897764 | Kenneth W Fogelberg | Obstetrics & Gynecology | 910 Nan Ct, Santa Maria, CA 93454-3151 | 2005-08-02 |
| 1437502499 | Mona Bazargan | Obstetrics & Gynecology | 220 S Palisade Dr Ste 203, Santa Maria, CA 93454-8903 | 2016-07-14 |
| 1457738064 | Jade Mas | Obstetrics & Gynecology | 220 S Palisade Dr Ste 203, Santa Maria, CA 93454 | 2015-05-04 |
| 1073955290 | Sina Abhari | Obstetrics & Gynecology | 116 S Palisade Dr Ste 104, Santa Maria, CA 93454-8905 | 2013-07-30 |
| 1790039733 | Ahmed Abdelaziz Abdelaziz | Obstetrics & Gynecology | 1418 E Main St, Suite 210, Santa Maria, CA 93454-4833 | 2012-10-30 |
| 1598038242 | Central Coast Obstetrics and Gynecology | Obstetrics & Gynecology | 220 S Palisade Dr, Ste 204, Santa Maria, CA 93454-8902 | 2012-02-10 |
| 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.