Daniel J Trueba Jr. (NPI# 1396773990, PAC ID# 0345206322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1396773990 |
| PAC ID by PECOS | 0345206322 |
| Professional Enrollment ID | I20041202000269 |
| Full Name | Daniel J Trueba Jr. |
| Organization Legal Name | MMC EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| Address |
1400 E Church St Santa Maria CA 93454-5906 |
| Phone Number | 8057393000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7911809215 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1400 E Church St, Santa Maria, CA 93454-5906 | 8057393000 | MMC EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| Organization Legal Name | MMC EMERGENCY PHYSICIANS MEDICAL GROUP, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul L Dimodica | Emergency Medicine | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Lisa M Serpa | Nurse Practitioner | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Amy M Aldrich | Emergency Medicine | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Amanda Lynn Tuel | Nurse Practitioner | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| John D Hooge | Emergency Medicine | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Erica M Poyntz | Nurse Practitioner | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Wendy A Ciovacco | Emergency Medicine | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Elizabeth M Busby | Emergency Medicine | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Street Address |
1400 E CHURCH ST |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-5906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Patrick Piazza | Family Medicine | Pacific Central Coast Health Centers | 1400 E Church St, 8 Family Medicine Center, Santa Maria, CA 93454-5906 |
| Jia-yi Bian | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Wilbur Huang | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Paul L Dimodica | Emergency Medicine | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Johnny Chen | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Jason Lent | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Lisa M Serpa | Nurse Practitioner | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Amy M Aldrich | Emergency Medicine | Mmc Emergency Physicians Medical Group, Inc. | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Jaylong Wong Thongkham | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Keith Santoyo | Anesthesiology | Anesthesia Medical Group of Santa Maria Inc | 1400 E Church St, Santa Maria, CA 93454-5906 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane P O Brien | Certified Registered Nurse Anesthetist (crna) | 816 E Ehos Dr B, Santa Maria, CA 93454 | |
| Ramanand C Dandillaya | Neurology | 210 S Palisade S Dr, Suite 203, Santa Maria, CA 93454 | |
| Gayle L Ulshafer | Certified Registered Nurse Anesthetist | 837 Harper Ct, Santa Maria, CA 93454-2348 | |
| James Tahmisian | Psychologist, Clinical | 117 E Fesler St, Santa Maria, CA 93454-4404 | |
| Ron T Ng | Optometry | 610 E Chapel St, Suite C, Santa Maria, CA 93454-4522 | |
| Arlene C Gonzales | Family Medicine | 722 E Chapel St, Santa Maria, CA 93454-4524 | |
| Nathan Singer | Interventional Pain Management | 120 N Miller St A, Santa Maria, CA 93454-4557 | |
| Matthew Hadilaksono | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Suite 1, Santa Maria, CA 93454-4607 |
| Kenneth Ejiogu | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Santa Maria, CA 93454-4607 |
| Wanda J Spencer | Obstetrics/gynecology | 937 E Main St, 101 Women Care, Santa Maria, CA 93454-4607 | |
| Find all physicians in zip 93454 | |||
| City | SANTA MARIA |
| Zip Code | 93454 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SANTA MARIA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Daniel J Trueba Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.