Healthcare Provider Details

I. General information

NPI: 1518782879
Provider Name (Legal Business Name): BRIDGIT CELINE MCLAUGHLIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 ANGELA CT
SANTA MARIA CA
93455-4853
US

IV. Provider business mailing address

603 ANGELA CT
SANTA MARIA CA
93455-4853
US

V. Phone/Fax

Practice location:
  • Phone: 805-714-1279
  • Fax:
Mailing address:
  • Phone: 805-714-1279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA65551
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: