Cmg Medical Group INC
Family Medicine in Templeton, CA. Organization (NPI-2).
NPI number1811273576
StatusActive
Last updated in NPPESOct 26, 2011
Details
- NPI
- 1811273576
- Entity type
- Organization (NPI-2)
- Legal business name
- Cmg Medical Group INC
- Organization subpart
- Yes
- Enumeration date
- Oct 26, 2011
- Last updated
- Oct 26, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G51256 | CA | Yes |
Practice location
265 Posada LaneSuite B
Templeton, CA 93465-4056
Phone 805-434-0900 · Fax 805-434-9260
Mailing address
1555 Higuera StreetSan Luis Obsipo, CA 93401-2917
Phone 805-543-4043
Authorized official
Steven B Goodman
Ceo/Medical Director
8055434043
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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