Santa Lucia Medical Group Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

G45197 Issued in CA

Legal business name

SANTA LUCIA MEDICAL GROUP INC

Practice address

1336 Natividad Rd
Salinas, CA 93906-3138

Phone

(831) 754-4444

Fax

(831) 754-2763

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Miss Martha Elia Campbell

Title

Office Manager

Phone

(831) 754-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Santa Lucia Med GRP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Santa Lucia Medical Group, Inc.

  • Family Medicine Physician
  • Salinas, CA
  • NPI 1538264080
  NPD tax ID

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1548646763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 NATIVIDAD RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063138",
            "telephone_number": "831-754-4444",
            "fax_number": "831-754-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 NATIVIDAD RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063138",
            "telephone_number": "831-754-4444",
            "fax_number": "831-754-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA LUCIA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ELIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "831-754-4444",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "G45197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1952483232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephany Sandoval, RN
• Sandra Nesheim Psychologist, Inc.
• Roger Gregory Sanger, DDS MS
• Urvi Sanghvi
• Matthew York Sano
• Santa Lucia Medical Group, Inc.
• Santa Rita Union School District
• Cristal Santana
• Isela Santiago Perez
• Irais Santiago Ramirez

• Preferred Provider Organization in Salinas, CA
• Providers in Salinas, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.