NPI 1487639290 · live from the CMS NPI Registry
Ilona Ann Baran, MD
Obstetrics & Gynecology in Santa Maria, CA. National Provider Identifier 1487639290, active.
NPI record
| NPI | 1487639290 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology 207V00000X |
| Practice location | 116 S Palisade Dr, Suite 104, Santa Maria, CA 93454 |
| Practice phone | 805-739-3957 |
| Mailing address | 117 W Bunny Ave, Santa Maria, CA 93458 |
| Enumerated | December 14, 2005 |
| Last updated | August 21, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology primary | 207V00000X | A45912 (CA) |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | A45912 (CA) |
| Obstetrics & Gynecology, Obstetrics | 207VX0000X | A45912 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.