Stephanie Pulikkottil Joseph M.D. Medical Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A137779 Issued in CA

Legal business name

STEPHANIE PULIKKOTTIL JOSEPH M.D. MEDICAL CORPORATION

Practice address

345 S Halcyon Rd
Arroyo Grande, CA 93420-3817

Phone

(805) 489-4261

NPI assigned

Jan 12, 2017

Organization subpart

No

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

Authorized official

Name

Jeff Scheidegger

Title

Billing Manager

Phone

(925) 820-4335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1871039909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945260324",
            "telephone_number": "925-820-4335",
            "fax_number": "925-820-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203817",
            "telephone_number": "805-489-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE PULIKKOTTIL JOSEPH M.D. MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "SCHEIDEGGER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "925-820-4335"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A137779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Sproger, LCSW
• Catherine Margaret Stanton, RN
• Kenneth Starr, M.D.
• Ernest Michael Stehula, D.D.S.
• River Steinberg
• Andreina Katherine Stevenson, CRNA, DNAP
• Jennifer Stewart, MS, PPS, CWA
• Stephanie Stockley
• Nora Stone, CRNA
• Brittany Storey, ACMHC

• All providers in Arroyo Grande, CA
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.