Organization Active NPI

Mary L Spurgeon

  • Diagnostic Ultrasound Physician
  • Atascadero, CA
National Provider Identifier
1295548212
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
MARY L SPURGEON
Practice address
9700 El Camino Real Ste 202
Atascadero, CA 93422-5579
Phone
(805) 460-6611
Fax
(805) 426-8318
NPI assigned
Jan 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Mary Louise SpurgeonNPI 1447076245
Title
Owner
Phone
(559) 816-6992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

9700 El Camino Real Ste 202
Atascadero, CA 93422-5579

Mailing address

9700 El Camino Real Ste 202
Atascadero, CA 93422-5579
Phone (805) 460-6611

Other names 1

  • ATASCADERO ULTRASOUND 3D/4D & DIAGNOSTIC Doing business as

National Provider Directory

National Provider Directory

Locations

9700 El Camino Real
Ste 202
Atascadero, CA 93422
Phone (805) 460-6611

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": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1295548212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL STE 202",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225579",
            "telephone_number": "805-460-6611",
            "fax_number": "805-426-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL STE 202",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225579",
            "telephone_number": "805-460-6611",
            "fax_number": "805-426-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L SPURGEON",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "SPURGEON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-816-6992"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATASCADERO ULTRASOUND 3D/4D & DIAGNOSTIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATASCADERO ULTRASOUND 3D/4D & DIAGNOSTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.