Active NPI
Robert Wayne Okerblom, M.D.
- Family Medicine Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G59397
- Practice address
- 1145 E Clark Ave Ste F
Santa Maria, CA 93455-5169 - Phone
- (805) 934-5140
- Fax
- (805) 934-3500
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G59397 | CA | Primary |
Addresses
Primary practice location
1145 E Clark Ave Ste F
Santa Maria, CA 93455-5169
Mailing address
1145 E Clark Ave Ste F
Santa Maria, CA 93455-5169
Phone (805) 934-5140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 E Stowell Rd
Suite C
Santa Maria, CA 93454-7010
Phone (805) 934-5140
Hospital & facility affiliations
- Dignity Health Home Health
- Central Coast Home Health Inc
- Superior Home Health
- Mission Home Health of Central Coast
- Marian Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 131 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59397 | CA | MD | Pharmacist |
| G59397 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okerblom Voegele and Hole MD a Professional Corporation | Family Medicine | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations
1145 E Clark Ave
Ste F
Santa Maria, CA 93455
Phone (805) 361-0756
915 E Stowell Rd
Ste C
Santa Maria, CA 93454
Phone (805) 934-5140
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Santa Maria, CA
- NPI 1477644797
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- Home Health Agency
- Grover Beach, CA
- NPI 1083050280
-
- Home Health Agency
- Santa Maria, CA
- NPI 1225184963
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- Home Health Agency
- Lompoc, CA
- NPI 1750834719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1942358643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 E CLARK AVE STE F",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934555169",
"telephone_number": "805-934-5140",
"fax_number": "805-934-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 E CLARK AVE STE F",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934555169",
"telephone_number": "805-934-5140",
"fax_number": "805-934-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKERBLOM",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G59397",
"primary": true
}
],
"identifiers": [],
"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 Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.