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CENTRAL COAST MULTISPECIALTY MEDICAL GROUP INC. NPI 1639263296


NPI Information

NPI: 1639263296
Provider Name: CENTRAL COAST MULTISPECIALTY MEDICAL GROUP, INC.

Doing Business As: FERTILITY & GYNECOLOGY CENTER

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0941947

Address:
9833 BLUE LARKSPUR LN
MONTEREY, CA
ZIP 93940
Phone: (831) 649-4483
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CENTRAL COAST MULTISPECIALTY MEDICAL GROUP, INC. is a specialist in Monterey, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTRAL COAST MULTISPECIALTY MEDICAL GROUP, INC. NPI is 1639263296. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fertility & Gynecology Center.

The provider's business location address is:

9833 BLUE LARKSPUR LN
MONTEREY, CA
ZIP 93940-535
Phone: (831) 649-4483
Fax: (831) 649-9010

The provider's authorized official is Edward J Ramirez .
The authorized official title is Ceo/medical Director and has the following contact phone number (831) 649-4483.

The CLIA number assigned to this NPI record is 05D0941947 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 11/21/2009.


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
1174400000XSpecialistA45791CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCALIFORNIAFEDERAL TAX ID
2GR0074030MEDICAIDCALIFORNIA
300A457911MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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