MEDICARE: VANCE D RODGERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	G44433	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	G44433	OTHER	CA	MEDICAL LICENSE NUMBER

General Provider Information

NPI Number	:	1427039916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANCE D RODGERS M.D.

Provider Business Mailing Address
First Line	:	1400 E. CHURCH STREET
Second Line	:	ATTENTION- MEDICAL STAFF OFFICE
City	:	SANTA MARIA
State	:	CA
Zip	:	93454
Country	:	US
Telephone Number	:	805-739-3954
Fax Number	:	805-739-3060

Provider Business Practice Location Address
First Line	:	1551 BISHOP ST STE 230
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-4661
Country	:	US
Telephone Number	:	805-434-5530
Fax Number	:	805-786-4220

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	01/23/2020

Similar Medicare Providers

1306844279 — DANIEL ROBERT MORE M.D.
Practice Location Address:

1551 BISHOP ST STE 220
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-543-2744
Practice Fax: 805-543-0539

1598746174 — DR. JEFFREY B MUNDORF M.D.
Practice Location Address:

1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-434-5530
Practice Fax: 805-434-0023

1457330797 — JETHRO TREES RITTER D.O.
Practice Location Address:

1551 BISHOP ST STE 250
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-540-0689
Practice Fax: 805-541-4376

1063492031 — CHRISTOPHER VAUGHN HOLLAND M.D.
Practice Location Address:

1551 BISHOP ST STE 250
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-540-0689
Practice Fax: 805-541-4376

1720197353 — JAMES B. CARR M.D.
Practice Location Address:

1551 BISHOP ST STE 210
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-547-2800
Practice Fax: 805-547-2801

1467596676 — MICHELLE CORINA CORDOVA PA
Practice Location Address:

1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-434-5530
Practice Fax: 805-434-0023

Directions to “ VANCE D RODGERS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.