Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatric Medical Group of Santa Maria Inc

Organization Pediatrics Physician · NPI 1811091952

Pediatric Medical Group of Santa Maria Inc provides Pediatrics Physician services in Santa Maria, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1430 E Main St #201
Santa Maria, CA 93454 Not confirmed with CMS for 15 years — call before visiting
Phone: (805) 922-3548
Fax: (805) 928-5609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1811091952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Rostermundt — Physician Manager · (805) 922-3548
NPI enumeratedSeptember 11, 2006
Last updated in NPPESMarch 3, 2011
Mailing address1430 E Main St, 201, Santa Maria, CA 93454

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