S Corp Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A118624 Issued in CA

Legal business name

S CORP INC

Practice address

830 E Chapel St
Santa Maria, CA 93454-4610

Phone

(805) 922-6657

Fax

(805) 436-2364

NPI assigned

Nov 15, 2017

Last updated

Apr 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samer Othman, MDNPI 1437476439

Title

President/Ceo

Phone

(626) 800-7617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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.

• Samer S. Othman, MD

  • Internal Medicine Physician
  • San Luis Obispo, CA
  • NPI 1437476439
  Medicare reassignment NPD Authorized official
• Carrie Michelle Anderson, NP

  • Family Nurse Practitioner
  • Montecito, CA
  • NPI 1528432952
  Medicare reassignment NPD
• Caitlyn Dipinto, PA-C

  • Physician Assistant
  • Lompoc, CA
  • NPI 1083242499
  Medicare reassignment NPD
• Marlon S Bazan, PA-C

  • Medical Physician Assistant
  • Santa Maria, CA
  • NPI 1306329438
  Medicare reassignment

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1821501560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14632",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934064632",
            "telephone_number": "626-800-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544610",
            "telephone_number": "805-922-6657",
            "fax_number": "805-436-2364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1428 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934363961",
            "country_code": "US",
            "telephone_number": "805-735-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3033 Augusta St",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934015820",
            "country_code": "US",
            "telephone_number": "626-800-7617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "S CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "OTHMAN",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-800-7617",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lee Rust
• Judith Aracely Ruvalcaba
• Leticia Azul Ruvalcaba
• Ryan L Allen DO Inc
• Lisa Y Ryan, M.D.
• Allysa Saayman, CCC-SLP
• April Saelao
• Ceasar Saenz, PT
• Sam Safaee, PA-C
• Matthew Sagisi, DPT

• Internal Medicine Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.