Organization Active NPI

Karamitsos & Wiltchik, a Medical Corp

  • Gynecology Physician
  • Santa Maria, CA
National Provider Identifier
1033102736
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
C2666948 Issued in CA
Legal business name
KARAMITSOS & WILTCHIK, A MEDICAL CORP
Practice address
300 S Stratford Ave
Santa Maria, CA 93454-5907
Phone
(805) 347-2100
Fax
(805) 347-2114
NPI assigned
Aug 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol A. Karamitsos, MD
Title
President
Phone
(805) 347-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X C2666948 CA Primary

Addresses

Primary practice location

300 S Stratford Ave
Santa Maria, CA 93454-5907

Mailing address

300 S Stratford Ave
Santa Maria, CA 93454-5907
Phone (805) 347-2100

Other identifiers 2

IdentifierTypeStateIssuer
GR0099400MedicaidCA
ZZZ64160ZOtherBLUE SHIELD OF CA

Other names 1

  • Central Coast Women's Health, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

116 S Palisade Dr
Ste 208
Santa Maria, CA 93454
Phone (805) 347-2100

220 S Palisade Dr
Ste 201
Santa Maria, CA 93454
Phone (805) 347-2100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1033102736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S STRATFORD AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545907",
            "telephone_number": "805-347-2100",
            "fax_number": "805-347-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STRATFORD AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545907",
            "telephone_number": "805-347-2100",
            "fax_number": "805-347-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARAMITSOS & WILTCHIK, A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "KARAMITSOS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-347-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "C2666948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ64160Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Coast Women's Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.