Organization Active NPI

The Ardara Group, LTD

  • Alzheimer Center (Dementia Center)
  • San Luis Obispo, CA
National Provider Identifier
1336358969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
THE ARDARA GROUP, LTD
Practice address
1789 Singletree CT
San Luis Obispo, CA 93405-7435
Phone
(805) 544-4044
Fax
(805) 544-4055
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark A. Bloodgood
Title
Ceo
Phone
(805) 544-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X CA Primary

Addresses

Primary practice location

1789 Singletree CT
San Luis Obispo, CA 93405-7435

Mailing address

3220 S Higuera St
Suite 311
San Luis Obispo, CA 93401-6987
Phone (805) 544-1444

National Provider Directory

National Provider Directory
Tax ID family
The Ardara Group LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3220 S Higuera St
Ste 311
San Luis Obispo, CA 93401

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336358969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S HIGUERA ST",
            "address_2": "SUITE 311",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016987",
            "telephone_number": "805-544-1444",
            "fax_number": "805-544-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 SINGLETREE CT",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057435",
            "telephone_number": "805-544-4044",
            "fax_number": "805-544-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARDARA GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOODGOOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-544-1444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.