Organization Active NPI

Pitrowski and Goldberg Dental Group

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Santa Maria, CA
National Provider Identifier
1255100046
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
PITROWSKI AND GOLDBERG DENTAL GROUP
Practice address
201 N College Dr Ste 202
Santa Maria, CA 93454-4614
Phone
(805) 928-7611
Fax
(805) 349-8551
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Aubrey A Dillon
Title
Office Manager
Phone
(805) 928-7611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

201 N College Dr Ste 202
Santa Maria, CA 93454-4614

Mailing address

201 N College Dr Ste 202
Santa Maria, CA 93454-4614
Phone (805) 928-7611

Other practice location 1

310 S Halcyon Rd Ste 201
Arroyo Grande, CA 93420-3873
Phone (805) 489-7600

Other names 1

  • COASTAL ORAL SURGERY AND DENTAL IMPLANT CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

310 S Halcyon Rd
Ste 201
Arroyo Grande, CA 93420
Phone (805) 489-7600

201 N College Dr
Ste 202
Santa Maria, CA 93454
Phone (805) 928-7611

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1255100046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N COLLEGE DR STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544614",
            "telephone_number": "805-928-7611",
            "fax_number": "805-349-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N COLLEGE DR STE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544614",
            "telephone_number": "805-928-7611",
            "fax_number": "805-349-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Halcyon Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203873",
            "country_code": "US",
            "telephone_number": "805-489-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PITROWSKI AND GOLDBERG DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-928-7611"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL ORAL SURGERY AND DENTAL IMPLANT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.