Healthcare Provider Details

I. General information

NPI: 1912837014
Provider Name (Legal Business Name): SANTA MARIA VALLEY MEDICAL PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W FESLER ST
SANTA MARIA CA
93458-4002
US

IV. Provider business mailing address

124 W FESLER ST
SANTA MARIA CA
93458-4002
US

V. Phone/Fax

Practice location:
  • Phone: 909-289-8878
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHARMAINE DRIESBACH
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 909-289-8878