COAST FAMILY PRACTICE (NPI# 1902022890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902022890 |
| Entity Type | Organization |
| Organization Name | COAST FAMILY PRACTICE |
| Other Organization Name | ANDREW J. HENNING |
| Practice Address |
607 Plaza Dr Suite C201 Santa Maria CA 93454-6944 |
| Mailing Address |
607 E. Plaza Drive Suite C201 Santa Maria CA 93454-6944 |
| Practice Telephone | 8059283636 |
| Practice Fax Number | 8059283608 |
| Mailing Telephone | 8059283636 |
| Mailing Fax Number | 8059283608 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROXANA MATA (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 8059283636 |
| Authorized Official Credential | P.A-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Andrew J. Henning | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750558219 | Coast Family Practice | Family Medicine | 607 E Plaza Dr Ste C-201, Santa Maria, CA 93454-6944 | 2008-05-14 |
| 1811940935 | Coast Family Practice | General Practice | 201 S Miller St, Suite 103, Santa Maria, CA 93454-5248 | 2006-05-18 |
| Street Address |
607 PLAZA DR SUITE C201 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-6944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164873253 | Irecovery Behavioral Health Clinic, LLC | Clinic/Center | 607 Plaza Dr, Suite C-102, Santa Maria, CA 93454-6944 | 2016-06-29 |
| 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 | 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 |
| 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 |
| 1972118768 | Sirena Sechslingloff | Physician Assistant | 220 S Palisade Dr Ste 203, Santa Maria, CA 93454-8903 | 2020-09-09 |
| 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.