Active NPI
Nancy a. Pawlik, M.D. a Professional Corp
- Surgery Physician
- San Luis Obispo, CA
National Provider Identifier
1134512312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G54852
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006548520 | Other | CA | MEDI-CAL |
Other names 1
- Nancy A. Pawlik, M.D. F.A.C.S.
National Provider Directory
National Provider DirectoryLocations
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.