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CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC NPI 1093138604


NPI Information

NPI: 1093138604
Provider Name: CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC

Other Name: GROUP NPI

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
821 E CHAPEL ST STE 103
SANTA MARIA, CA
ZIP 93454
Phone: (805) 925-1009
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CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC is a health service clinic center in Santa Maria, CA. CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC NPI is 1093138604. The provider is registered as an organization entity type.
The provider Other Name Is Group Npi.

The provider's business location address is:

821 E CHAPEL ST STE 103
SANTA MARIA, CA
ZIP 93454-618
Phone: (805) 925-1009
Fax: (805) 925-1137

The provider's authorized official is Juleen Marie Stimson .
The authorized official title is Administrator and has the following contact phone number (805) 925-1009.

The enumeration date for this NPI number is 2/3/2014 and was last updated on 3/11/2022.


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
1261QH0100XClinic/CenterHealth ServiceYes

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: 5/5/2024

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