Jeffrey B Mundorf
CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP


Address: 1551 Bishop St, San Luis Obispo, CA 93401-4661

Jeffrey B Mundorf (NPI# 1598746174, PAC ID# 5395712418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1598746174
PAC ID by PECOS 5395712418
Professional Enrollment ID I20040920000469
Full Name Jeffrey B Mundorf
Organization Legal Name CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP
Address 1551 Bishop St
San Luis Obispo
CA 93401-4661
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year 1990
Primary Specialty GASTROENTEROLOGY
Group Practice PAC ID 8527047588
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050232 FRENCH HOSPITAL MEDICAL CENTER
050107 MARIAN REGIONAL MEDICAL CENTER
050506 SIERRA VISTA REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
2 James Way, Suite 207, Pismo Beach, CA 93449-4976 8055563001 CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP
1551 Bishop St, San Luis Obispo, CA 93401-4661 CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP
1255 Las Tablas Rd, Suite 201, Templeton, CA 93465-9750 8054340339 CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 65%

Organization Information

Organization Legal Name CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Jeffry A Brown Gastroenterology Central Coast Gastroenterology Medical Group 1255 Las Tablas Rd, Suite 201, Templeton, CA 93465-9750
Jonathan L Riegler Gastroenterology Central Coast Gastroenterology Medical Group 1255 Las Tablas Rd, Suite 201, Templeton, CA 93465-9750
Paul D Wetzel Gastroenterology Central Coast Gastroenterology Medical Group 1551 Bishop St, San Luis Obispo, CA 93401-4661
Vance D Rodgers Gastroenterology Central Coast Gastroenterology Medical Group 1255 Las Tablas Rd, Suite 201, Templeton, CA 93465-9750
Mick S Meiselman Gastroenterology Central Coast Gastroenterology Medical Group 1551 Bishop St, San Luis Obispo, CA 93401-4661

Office Location

Street Address 1551 BISHOP ST
City SAN LUIS OBISPO
State CA
Zip 93401-4661

Physicians in the same location

Name Specialty Organization Address
Leslie Joslin Nurse Practitioner Chris M Byrne Dpm Inc 1551 Bishop St, 210b, San Luis Obispo, CA 93401-4635
Joel Correa Chiropractic Community Health Centers of The Central Coast, Inc. 1551 Bishop St, Suite A160, San Luis Obispo, CA 93401-4636
Carianne N Crowe Physician Assistant Daniel C Zovich Md Inc 1551 Bishop St, D450, San Luis Obispo, CA 93401-4635
Julia Elizabeth Davison Physician Assistant Pacific Psychiatry Inc., A Professional Medical Corporation 1551 Bishop St, Suite A 150, San Luis Obispo, CA 93401-4635
Gary D Mulder Podiatry Chris M Byrne Dpm Inc 1551 Bishop St, 210b, San Luis Obispo, CA 93401-4635
Paul D Wetzel Gastroenterology Central Coast Gastroenterology Medical Group 1551 Bishop St, San Luis Obispo, CA 93401-4661
Kelli M Rose Allergy/immunology Allergy Partners of California, Inc 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4665
Daniel Zovich Gastroenterology Daniel C Zovich Md Inc 1551 Bishop St, D450, San Luis Obispo, CA 93401-4635
Joseph C Pon Chiropractic Community Health Centers of The Central Coast, Inc. 1551 Bishop St, Suite A160, San Luis Obispo, CA 93401-4636
Lawrence J Fogel Neurology 1551 Bishop St, Suite B250, San Luis Obispo, CA 93401-4635
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Patrick J Spalding Obstetrics/gynecology 1551 Bishop Medical Plz, C310, San Luis Obispo, CA 93401
Nell Bennett Clinical Social Worker 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707
Jeffrey Friedman Psychologist, Clinical 956 Walnut St, Suite 200, San Luis Obispo, CA 93401-1707
Kourosh Bagheri Internal Medicine 1177 Marsh St, Suite 100, San Luis Obispo, CA 93401-2316
Donald A Ramberg Neurosurgery 699 California Blvd, Suite B, San Luis Obispo, CA 93401-2507
Phillip Kissel Neurosurgery 699 California Blvd, Suite A, San Luis Obispo, CA 93401-2507
Steven C Johnson Ophthalmology 628 California Blvd, Suite C, San Luis Obispo, CA 93401-2547
Laura A Lubarsky Pulmonary Disease Central Coast Chest Consultants, A Medical Corporation 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551
David C Anderson Physician Assistant Central Coast Chest Consultants, A Medical Corporation 1428 Phillips Ln, San Luis Obispo, CA 93401-2551
Michael James Ryan Pulmonary Disease Central Coast Chest Consultants, A Medical Corporation 1428 Phillips Ln, Suite 203, San Luis Obispo, CA 93401-2551
Find all physicians in zip 93401

Competitor

Search similar physicians

City SAN LUIS OBISPO
Zip Code 93401
Specialty GASTROENTEROLOGY
City + Specialty SAN LUIS OBISPO + GASTROENTEROLOGY

Improve Information

Please comment or provide details below to improve the information on Jeffrey B Mundorf.

Dataset Information

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.

Trending Searches