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CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC NPI 1194913921


NPI Information

NPI: 1194913921
Provider Name: CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC

Other Name: CENTRAL COAST FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0706079

Address:
220 S PALISADE DR STE 104B
SANTA MARIA, CA
ZIP 93454
Phone: (805) 925-2521
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CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC is a family medicine in Santa Maria, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC NPI is 1194913921. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Central Coast Family Care.

The provider's business location address is:

220 S PALISADE DR STE 104B
SANTA MARIA, CA
ZIP 93454-931
Phone: (805) 925-2521

The provider's authorized official is Laura J Theis .
The authorized official title is President and has the following contact phone number (805) 349-1227.

The CLIA number assigned to this NPI record is 05D0706079 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 2/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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