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Justin Meyer

Male

Medical Specialty

Podiatry

Professional ID

NPI: 1386942217
PECOS ID: 3476722448
Enrollment ID: I20110808000794
Credential(MD, DO, DPM):
Medical School: California College Podiatric Medicine
Medical School Graduation Year: 2008

Hospital Service

Hospital CCN1: 050357
Business Name (LBN)1: Goleta Valley Cottage Hospital

Medical Practices

Organization Name: Sansum Clinic
Group Practice ID assigned by PECOS: 3678471976
Number of Group Practice member: 268

Location

Address1: 1225 N H St
Address2:
City: Lompoc
State: California
Zip Code: 93436
Phone Number: (805)737-8700

Location

Address1: 215 Pesetas Ln
Address2:
City: Santa Barbara
State: California
Zip Code: 93110
Phone Number: (805)681-7800

Location

Address1: 4151 Foothill Rd
Address2:
City: Santa Barbara
State: California
Zip Code: 93110
Phone Number: (805)681-1760

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS):
Used Electronic health record (EHR): Yes