Perla Park (NPI# 1518973122, PAC ID# 9133388317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1518973122 |
| PAC ID by PECOS | 9133388317 |
| Professional Enrollment ID | I20120307000446 |
| Full Name | Perla Park |
| Organization Legal Name | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. |
| Address |
210 S Palisade Dr Santa Maria CA 93454-8901 |
| Phone Number | 8053618014 |
| Gender | F |
| Graduation Year | 1975 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7416868120 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 210 S Palisade Dr, Santa Maria, CA 93454-8901 | 8053618014 | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. |
| Organization Legal Name | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rostislav Davydov | Family Practice | Community Health Centers of The Central Coast, Inc. | 430 S Blosser Rd, Santa Maria, CA 93458-4908 |
| Ahmed Abdelaziz | Obstetrics/gynecology | Community Health Centers of The Central Coast, Inc. | 1418 E Main St, Suite 210, Santa Maria, CA 93454-4836 |
| Patrick Welch | Family Medicine | Community Health Centers of The Central Coast, Inc. | 1057 E Grand Ave, Arroyo Grande, CA 93420-2504 |
| James M Mcghee | Pediatric Medicine | Community Health Centers of The Central Coast, Inc. | 325 Posada Ln, Templeton, CA 93465-4003 |
| Robert Andrew Pull | Chiropractic | Community Health Centers of The Central Coast, Inc. | 77 Casa St, 201 202, San Luis Obispo, CA 93405-5803 |
| Ethan Roy Etnyre | Family Medicine | Community Health Centers of The Central Coast, Inc. | 1205 E Grand Ave, Suite H, Arroyo Grande, CA 93420-2419 |
| Christina A Pinto | Family Practice | Community Health Centers of The Central Coast, Inc. | 77 Casa, San Luis Obispo, CA 93405-5803 |
| Philip F Wichmann | Internal Medicine | Community Health Centers of The Central Coast, Inc. | 7512 Morro Rd, Atascadero, CA 93422-4404 |
| Laura J Herzberg | Pediatric Medicine | Community Health Centers of The Central Coast, Inc. | 2801 Santa Maria Way, Santa Maria, CA 93455-2118 |
| Bala K Bhat | Internal Medicine | Community Health Centers of The Central Coast, Inc. | 260 Station Way, Arroyo Grande, CA 93420-3359 |
| Street Address |
210 S PALISADE DR |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-8901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tad P Callahan | Obstetrics/gynecology | Pacific Central Coast Health Centers | 210 S Palisade Dr, Suite 101, Santa Maria, CA 93454-5932 |
| Islam Fahmi Abdou | Obstetrics/gynecology | Pacific Central Coast Health Centers | 210 S Palisade Dr, Suite 101, Santa Maria, CA 93454-5932 |
| Robert L Mcghie | Obstetrics/gynecology | Community Health Centers of The Central Coast, Inc. | 210 S Palisade Dr, Santa Maria, CA 93545-8901 |
| 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 | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SANTA MARIA + OBSTETRICS/GYNECOLOGY |
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| 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.