Individual provider Active NPI

Eric Michael Gavarre, MD

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1134619471
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A167113 Issued in CA
Practice address
220 S Palisade Dr
Santa Maria, CA 93454-8902
Phone
(805) 925-2521
Fax
(805) 354-0780
NPI assigned
May 11, 2018
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A167113 CA Primary

Addresses

Primary practice location

220 S Palisade Dr
Santa Maria, CA 93454-8902

Mailing address

220 S Palisade Dr Ste 104B
Santa Maria, CA 93454-5931
Phone (805) 925-2521

Other practice location 1

235 S Palisade Dr
Santa Maria, CA 93454-5948
Phone (805) 739-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216002288 CA Practitioner - Family Practice 2163834185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

117 W Bunny Ave
Santa Maria, CA 93458-2805
Phone (805) 739-3890

1510 E Main St
Suite 104 C
Santa Maria, CA 93454-4825
Phone (805) 349-8514

220 S Palisade Dr
104B
Santa Maria, CA 93454-5931
Phone (805) 925-2521

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions21
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A167113CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Sep 8, 2020 Accepting new patients
Central Coast Family Care Medical Associates, Inc. Family Medicine CurrentSince Aug 2, 2021 Accepting new patients
Central Coast Family Care Medical Associates, Inc Family Medicine CurrentSince Aug 2, 2021 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 8, 2020 Accepting new patients
Central Coast Family Care Medical Associates, Inc Family Medicine Current Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1400 E Church St
Bldg 8
Santa Maria, CA 93454
Phone (800) 739-3561

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

220 S Palisade Dr
Ste 104
Santa Maria, CA 93454
Phone (805) 737-5706

220 S Palisade Dr
Ste 104B
Santa Maria, CA 93454
Phone (805) 925-2521

235 S Palisade Dr
Santa Maria, CA 93454
Phone (805) 739-3561

821 E Chapel St
Ste 203
Santa Maria, CA 93454
Phone (805) 925-5334

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1134619471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR STE 104B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545931",
            "telephone_number": "805-925-2521",
            "fax_number": "805-354-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548902",
            "telephone_number": "805-925-2521",
            "fax_number": "805-354-0780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 S Palisade Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545948",
            "country_code": "US",
            "telephone_number": "805-739-3561",
            "fax_number": "805-739-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVARRE",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A167113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.