Restorative Medical PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RESTORATIVE MEDICAL PC

Doing business as

Restorative Spine & Joint

Practice address

3596 Skyway Dr Ste B
Santa Maria, CA 93455-2514

Phone

(805) 614-7820

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Matthew EgbertNPI 1205806874

Title

Ceo

Phone

(805) 614-7820

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Restorative Spine & Joint Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Ross Egbert, D.C.

  • Chiropractor
  • Santa Maria, CA
  • NPI 1205806874
  Medicare reassignment Care Compare group Authorized official
• Navpreet Kaur Pannu, NP

  • Family Nurse Practitioner
  • Santa Maria, CA
  • NPI 1134919038
  Medicare reassignment Care Compare group
• Katharine Sanchez, PA

  • Physician Assistant
  • Santa Maria, CA
  • NPI 1992537062
  Medicare reassignment Care Compare group
• Tabitha Elise Abraham, FNP

  • Family Nurse Practitioner
  • Santa Barbara, CA
  • NPI 1811558042
  Medicare reassignment
• George J Rakkar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Redwood City, CA
  • NPI 1114363066
  NPD

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1053872713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3596 SKYWAY DR STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934552514",
            "telephone_number": "805-614-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3596 SKYWAY DR STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934552514",
            "telephone_number": "805-614-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-614-7820",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205806874",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "endpointDescription": "EDI",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3596 Skyway Dr Ste B",
            "city": "Santa Maria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934552514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Restorative Spine & Joint",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restorative Spine & Joint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renewed Mind Family Therapy Group, a Professional Corporation
• Jill E Renfro, CRNA
• Nicolle Renner
• Nicole Requenez, RN, PHN
• Olga Reyna Requenez
• Luis Lauro Reta de la Garza
• Dalia Erica Reyes Cortes
• Elizabeth M. Reyes-Velazquez
• Jenna Reyes
• Natalie Rose Mendoza Reyes

• General Practice Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.