Organization Active NPI

Nancy a. Pawlik, M.D. a Professional Corp

  • Surgery Physician
  • San Luis Obispo, CA
National Provider Identifier
1134512312
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G54852 Issued in CA
Legal business name
NANCY A. PAWLIK, M.D. A PROFESSIONAL CORP
Practice address
437 Marsh St
San Luis Obispo, CA 93401-3822
Phone
(805) 783-7044
Fax
(805) 783-7047
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Dr. Nancy Ann Pawlik, M.D.
Title
President
Phone
(805) 783-7044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G54852 CA Primary

Addresses

Primary practice location

437 Marsh St
San Luis Obispo, CA 93401-3822

Mailing address

437 Marsh St
San Luis Obispo, CA 93401-3822
Phone (805) 783-7044

Other identifiers 1

IdentifierTypeStateIssuer
006548520OtherCAMEDI-CAL

Other names 1

  • Nancy A. Pawlik, M.D. F.A.C.S. Former legal business name

National Provider Directory

National Provider Directory

Locations

437 Marsh St
Sn Luis Obisp, CA 93401
Phone (805) 783-7044

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1134512312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 MARSH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013822",
            "telephone_number": "805-783-7044",
            "fax_number": "805-783-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 MARSH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013822",
            "telephone_number": "805-783-7044",
            "fax_number": "805-783-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY A. PAWLIK, M.D. A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "PAWLIK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-783-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G54852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "006548520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy A. Pawlik, M.D. F.A.C.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.