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CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC NPI 1881882611


NPI Information

NPI: 1881882611
Provider Name: CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC

Doing Business As: CENTRAL COAST FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1048158

Address:
355 DANIEL DR STE 105
SANTA MARIA, CA
ZIP 93454
Phone: (805) 937-3368
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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 1881882611. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Central Coast Family Care.

The provider's business location address is:

355 DANIEL DR STE 105
SANTA MARIA, CA
ZIP 93454-840
Phone: (805) 937-3368

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 05D1048158 - 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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