Santa Rosa Medical Group, Inc.

LBN: Santa Rosa Medical Group, Inc.
Santa Rosa Medical Group, Inc. is an health care organization with primary practice located at 3661 E. Las Posas Rd G162, Camarillo CA 93010. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Santa Rosa Medical Group, Inc. can be contacted via phone (805) 987-5041, or through Eilerman, Keith Alan via phone (805) 987-5041.

Contact Information

Primary practice address
3661 E. Las Posas Rd G162 Camarillo CA 93010
Phone: (805) 987-5041
Fax: (805) 987-6297
Website:
Map and Directions
Authorized official contact:
Name: Eilerman, Keith Alan Doctor of Medicine (MD)
Phone: (805) 987-5041

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A48615 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A61469 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G36258 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G43738 California

Profile Details

NPI number 1134139769
LBN Legal business name Santa Rosa Medical Group, Inc.
DBA Doing business as
Authorized official Eilerman, Keith Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134139769 NPPES
California Other ZZZ16399Z BLUE SHIELD

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