Individual provider Active NPI

Seta Nanor Darakdjian

  • Nurse Practitioner
  • Santa Maria, CA
National Provider Identifier
1376112250
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017265 Issued in CA
Practice address
235 S Palisade Dr
Santa Maria, CA 93454
Phone
(805) 739-3561
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017265 CA Primary

Addresses

Primary practice location

235 S Palisade Dr
Santa Maria, CA 93454

Mailing address

235 S Palisade Dr
Santa Maria, CA 93454-5948
Phone (805) 739-3561

Other practice location 1

697 W Tefft St
Nipomo, CA 93444-9190
Phone (805) 929-2272

Other practice location 2

685 Morro Ave
Morro Bay, CA 93442-2233
Phone (805) 772-7313

Other practice location 3

895 Aerovista Pl Ste 103
San Luis Obispo, CA 93401-8725
Phone (805) 541-3200

Other practice location 4

1510 E Main St Ste 140A
Santa Maria, CA 93454-4825
Phone (805) 349-8514

Other practice location 5

1250 Peach St Ste B
San Luis Obispo, CA 93401-2869
Phone (805) 543-4043

Other practice location 6

4460 Broad St Ste A
San Luis Obispo, CA 93401-8064
Phone (805) 597-6715

Other practice location 7

1250 Peach St Ste A
San Luis Obispo, CA 93401-2871
Phone (805) 543-4043

Other practice location 8

265 Posada Ln Ste B
Templeton, CA 93465-4056
Phone (805) 434-0900

Other practice location 9

1745 N Broadway Ste 101
Santa Maria, CA 93454-1940
Phone (805) 739-3890

Other practice location 10

1102 E Clark Ave Ste 120A
Santa Maria, CA 93455-5175
Phone (805) 332-8185

Other practice location 11

877 Oak Park Blvd
Pismo Beach, CA 93449-3292
Phone (805) 474-8450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721001963 CA Practitioner - Nurse Practitioner 5991042426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

697 W Tefft St
Nipomo, CA 93444-9190
Phone (802) 929-2272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Sep 1, 2021 Accepting new patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

685 Morro Ave
Morro Bay, CA 93442
Phone (805) 772-7313

685 Morro Ave
Ste C
Morro Bay, CA 93442
Phone (805) 772-7313

697 W Tefft St
Nipomo, CA 93444
Phone (805) 929-2272

877 Oak Park Blvd
Pismo Beach, CA 93449
Phone (805) 473-2200

4460 Broad St
Ste A
San Luis Obispo, CA 93401
Phone (805) 597-6715

4460 Broad St
Ste 110
San Luis Obispo, CA 93401
Phone (805) 597-6715

1102 E Clark Ave
Ste 120A
Santa Maria, CA 93455
Phone (805) 332-8185

235 S Palisade Dr
Santa Maria, CA 93454
Phone (805) 739-3561

1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1745 N Broadway
Ste 101
Santa Maria, CA 93454

895 Aerovista Pl
Ste 103
Sn Luis Obisp, CA 93401
Phone (805) 541-2368

1250 Peach St
Ste B
Sn Luis Obisp, CA 93401
Phone (805) 543-4043

1250 Peach St
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 543-4043

265 Posada Ln
Ste B
Templeton, CA 93465
Phone (805) 434-0900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1376112250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S PALISADE DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545948",
            "telephone_number": "805-739-3561",
            "fax_number": "805-739-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S PALISADE DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-739-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "697 W Tefft St",
            "address_purpose": "LOCATION",
            "city": "Nipomo",
            "state": "CA",
            "postal_code": "934449190",
            "country_code": "US",
            "telephone_number": "805-929-2272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "685 Morro Ave",
            "address_purpose": "LOCATION",
            "city": "Morro Bay",
            "state": "CA",
            "postal_code": "934422233",
            "country_code": "US",
            "telephone_number": "805-772-7313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 Aerovista Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934018725",
            "country_code": "US",
            "telephone_number": "805-541-3200",
            "fax_number": "805-541-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 E Main St Ste 140A",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934544825",
            "country_code": "US",
            "telephone_number": "805-349-8514",
            "fax_number": "805-349-8958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Peach St Ste B",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934012869",
            "country_code": "US",
            "telephone_number": "805-543-4043",
            "fax_number": "805-543-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4460 Broad St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934018064",
            "country_code": "US",
            "telephone_number": "805-597-6715",
            "fax_number": "805-541-4973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Peach St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934012871",
            "country_code": "US",
            "telephone_number": "805-543-4043",
            "fax_number": "805-543-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Posada Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934654056",
            "country_code": "US",
            "telephone_number": "805-434-0900",
            "fax_number": "805-434-9260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1745 N Broadway Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934541940",
            "country_code": "US",
            "telephone_number": "805-739-3890",
            "fax_number": "805-347-7697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 E Clark Ave Ste 120A",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934555175",
            "country_code": "US",
            "telephone_number": "805-332-8185",
            "fax_number": "805-332-8186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "877 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934493292",
            "country_code": "US",
            "telephone_number": "805-474-8450",
            "fax_number": "805-474-8454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARAKDJIAN",
        "first_name": "SETA NANOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.