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PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC
NPI 1811091952
Pediatrics in Santa Maria, CA

Active since September 11, 2006CLIA 05D0702969 · Microscopy
1430 E MAIN ST, #201, SANTA MARIA, CA 93454(805) 922-3548(805) 928-5609 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Medical Group Of Santa Maria Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC MEDICAL GROUP OF SANTA MARIA INC (NPI 1811091952) is a healthcare organization registered as a pediatrics in Santa Maria, California and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Shane D Rostermundt, Physician Manager, as its authorized official.

NPPES Registry Identity

NPI1811091952
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC MEDICAL GROUP OF SANTA MARIA INC
Location Address1430 E MAIN ST, #201Santa Maria, CA 93454
Mailing Address1430 E Main St, #201Santa Maria, CA 93454 · (805) 922-3548 · Fax (805) 928-5609
Phone(805) 922-3548
Fax(805) 928-5609
Organization SubpartNo
Authorized OfficialShane D RostermundtPhysician Manager · (805) 922-3548
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 3, 2011
✔ NPI 1811091952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1430 E MAIN ST, Santa Maria, CA 93454
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Other Identifiers 1

MedicaidYYY48371YCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0702969

Pediatric Medical Group Of Santa Maria, Inc. · Santa Maria, CA
Active · expires Aug 31, 2026
CLIA Number05D0702969
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShane D. Rostermundt
Laboratory Phone(805) 922-3548
Laboratory LocationPediatric Medical Group Of Santa Maria, Inc.1430 E Main St Suite 201, Santa Maria, CA 93454
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARITA ESQUIVEL HIDALGO
Pharmacy Technician
1430 E MAIN ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-1979
DR. SAMIRA KAYUMI-RASHTI M.D.
Pediatrics
1430 E MAIN ST, SUITE 201
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-3548
RYAN ROBERT LEACHMAN D.O
Pediatrics
1430 E MAIN ST, SUITE 201
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-3548
MICHELE M. KIELTY DO
Pediatrics
1430 E MAIN ST, SUITE 202
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-3548
DR. SHANE D ROSTERMUNDT DO
Pediatrics
1430 E MAIN ST, 201
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-3548
DR. SCOTT KIM DDS
Dentist (General Practice)
1430 E MAIN ST, SUITE 103
SANTA MARIA, CA 93454
Santa Barbara County (805) 925-2545
CHARLES NELSON BRANNON DDS
Dentist
1430 E MAIN ST, SUITE 105
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-1017
DR. HENRY YOSHIHIRO ARAKAKI JR. MS, DDS
Dentist
1430 E MAIN ST
SANTA MARIA, CA 93454
Santa Barbara County (805) 922-3530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Medical Group Of Santa Maria Inc's NPI number?

The NPI number for Pediatric Medical Group Of Santa Maria Inc is 1811091952. It was assigned to this organization in the NPPES registry on September 11, 2006.

Where is Pediatric Medical Group Of Santa Maria Inc located?

Pediatric Medical Group Of Santa Maria Inc is located at 1430 E Main St #201, Santa Maria, CA 93454. The listed phone number is (805) 922-3548.

What is Pediatric Medical Group Of Santa Maria Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Medical Group Of Santa Maria Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0702969) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Medical Group Of Santa Maria Inc was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.