Industrial Medical Group of Santa Maria Valley

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

G50357 Issued in CA

Legal business name

INDUSTRIAL MEDICAL GROUP OF SANTA MARIA VALLEY

Practice address

3070 Skyway Dr Ste 106
Santa Maria, CA 93455-1830

Phone

(805) 922-8282

Fax

(805) 925-2690

NPI assigned

Nov 4, 2008

Last updated

Nov 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Simon Boughey, M.D.

Title

Medical Director

Phone

(805) 922-8282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1235383225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 SKYWAY DR STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551830",
            "telephone_number": "805-922-8282",
            "fax_number": "805-925-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 SKYWAY DR STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551830",
            "telephone_number": "805-922-8282",
            "fax_number": "805-925-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL MEDICAL GROUP OF SANTA MARIA VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "BOUGHEY",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-922-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": "G50357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Ikola, MD
• Harsh Ilapakurthi, DO
• Lauren Iliff
• Cheri Marlene Imoe, LVN
• Melissa In
• Infinite Hope Housing LLC
• Richard A. Insco, M.D.
• Irecover
• Irecovery Behavioral Health Clinic, LLC (iRecovery Santa Maria)
• Jennifer Elizabeth Ireland, MFTI

• Occupational Medicine Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Occupational Medicine Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.