Organization
SANTA MARIA NEPHROLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARASHDEEP POONIA (PART OWNER)
(215) 687-5149
Entity
Organization
Contact information
Practice address
1505 SHEPARD DR, SANTA MARIA, CA 93454-7020
(805) 245-9340
Mailing address
1505 SHEPARD DR, SANTA MARIA, CA 93454-7020
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A129530
MD LICSENSE
CA
01
—
A134355
MD LICSENSE
CA
Enumeration date
04/15/2019
Last updated
09/30/2025
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