Alan S Edelman

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G46751 Issued in CA

Practice address

300 S Stratford Ave
Santa Maria, CA 93454-5903

Phone

(805) 739-3863

Fax

(805) 614-2035

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Santa Maria, CA
  • NPI 1063496651

  Neurological Surgery

  NPD (past)
• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1699886903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 PLAZA DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546917",
            "telephone_number": "805-739-3474",
            "fax_number": "805-346-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STRATFORD AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545903",
            "telephone_number": "805-739-3863",
            "fax_number": "805-614-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "ALAN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G46751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G467510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Etinosa Lopez Ebagua
• Gerald D. Ebner, M.D.
• Susan V Ebner, R.N.
• Sheryhan M Ebrahim
• Dannette D Echavarria, RN
• Edward a Smith, M.D., Inc.
• Edward Nam Dental Corporation
• Dimitri Egan
• Matthew Ross Egbert, D.C.
• Sarah Rose Eichenbaum, RD

• Neurological Surgery Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.