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CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC NPI 1215125042


NPI Information

NPI: 1215125042
Provider Name: CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC

Doing Business As: CENTRAL COAST FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
915 E STOWELL RD STE B
SANTA MARIA, CA
ZIP 93454
Phone: (805) 938-7424
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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 1215125042. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Central Coast Family Care.

The provider's business location address is:

915 E STOWELL RD STE B
SANTA MARIA, CA
ZIP 93454-010
Phone: (805) 938-7424
Fax: (805) 938-7422

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 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

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
1ZZZ60013ZOTHERCALIFORNIABLUESHIELD

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: 11/14/2023

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