Organization Active NPI

Eric W. Jahnke MD Inc

  • Gastroenterology Physician
  • Santa Maria, CA
National Provider Identifier
1891974044
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G40086 Issued in CA
Legal business name
ERIC W. JAHNKE MD INC
Practice address
1311 S Miller St
Suite 101
Santa Maria, CA 93454-6900
Phone
(805) 922-6991
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Eric William Jahnke, M.D.
Title
President
Phone
(805) 922-6991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G40086 CA Primary

Addresses

Primary practice location

1311 S Miller St
Suite 101
Santa Maria, CA 93454-6900

Mailing address

1311 S Miller St
Suite 101
Santa Maria, CA 93454-6900
Phone (805) 922-6991

Other identifiers 2

IdentifierTypeStateIssuer
00G400860MedicaidCA
100000707OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1311 S Miller St
Santa Maria, CA 93454
Phone (805) 922-6991

1311 S Miller St
Ste 101
Santa Maria, CA 93454
Phone (805) 922-6991

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1891974044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S MILLER ST",
            "address_2": "SUITE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546900",
            "telephone_number": "805-922-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MILLER ST",
            "address_2": "SUITE 101",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546900",
            "telephone_number": "805-922-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC W. JAHNKE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "JAHNKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-922-6991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G40086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G400860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100000707",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.