CENTRAL COAST RADIOLOGY MEDICAL GROUP INC NPI 1396063079

NPI Information

NPI: 1396063079
Provider Name: CENTRAL COAST RADIOLOGY MEDICAL GROUP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1100 LAS TABLAS RD
TEMPLETON, CA
ZIP 93465
Phone: (805) 434-1491
Get Directions

CENTRAL COAST RADIOLOGY MEDICAL GROUP INC is a diagnostic radiology radiology in Templeton, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CENTRAL COAST RADIOLOGY MEDICAL GROUP INC NPI is 1396063079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 LAS TABLAS RD
TEMPLETON, CA
ZIP 93465-704
Phone: (805) 434-1491
Fax: (805) 434-4997

The provider's authorized official is James Poole Cartland .
The authorized official title is President and has the following contact phone number (805) 434-1491.

The enumeration date for this NPI number is 5/5/2010 and was last updated on 8/21/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	47035670	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DL294A	MEDICARE PIN	CALIFORNIA

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

NPI Synchronization or Removal

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