PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC – NPI #1811091952
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC is a provider located in SANTA MARIA, CA. NPPES has assigned the NPI number 1811091952 to PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC on September 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Mar 03, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC below.

NPI Profile for
PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC

NPI Number
1811091952
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC
Primary location
1430 E MAIN ST
#201
SANTA MARIA, CA 93454
Phone: (805) 922-3548 Fax: (805) 928-5609
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHANE ROSTERMUNDT
PHYSICIAN MANAGER
Phone: (805) 922-3548
Updated
Identifiers

Identifiers for PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAYYY48371Y
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.