Organization Active NPI

Arbor Medical Group

  • Specialist
  • Santa Maria, CA
National Provider Identifier
1346318987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G25834 Issued in CA
Legal business name
ARBOR MEDICAL GROUP
Practice address
1300 E Cypress St
Suite B
Santa Maria, CA 93454-4728
Phone
(805) 928-3678
Fax
(805) 928-6408
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Gerald David Ebner, MDNPI 1720081730
Title
President
Phone
(805) 928-3678

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
Specialist 174400000X G25834 CA Primary

Addresses

Primary practice location

1300 E Cypress St
Suite B
Santa Maria, CA 93454-4728

Mailing address

1300 E Cypress St
Suite B
Santa Maria, CA 93454-4728
Phone (805) 928-3678

National Provider Directory

National Provider Directory

Locations

1300 E Cypress St
Ste B
Santa Maria, CA 93454
Phone (805) 925-9581

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346318987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E CYPRESS ST",
            "address_2": "SUITE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544728",
            "telephone_number": "805-928-3678",
            "fax_number": "805-928-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E CYPRESS ST",
            "address_2": "SUITE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544728",
            "telephone_number": "805-928-3678",
            "fax_number": "805-928-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBNER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-928-3678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G25834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.