CENTRAL COAST OBSTETRICS AND GYNECOLOGY INC. A MEDICAL GROUP NPI 1376556217

NPI Information

  • NPI: 1376556217
  • Provider Name: CENTRAL COAST OBSTETRICS AND GYNECOLOGY, INC., A MEDICAL GROUP
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 100 CASA ST
    SUITE B
    SAN LUIS OBISPO, CA
    ZIP 93405
  • Phone: (805) 544-8811

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NPI Details

CENTRAL COAST OBSTETRICS AND GYNECOLOGY, INC., A MEDICAL GROUP is an obstetrics gynecology in San Luis Obispo, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CENTRAL COAST OBSTETRICS AND GYNECOLOGY, INC., A MEDICAL GROUP NPI is 1376556217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 CASA ST
SUITE B
SAN LUIS OBISPO, CA
ZIP 93405-883
Phone: (805) 544-8811
Fax: (805) 548-0777

The provider's authorized official is Leslie Furukawa .
The authorized official title is Billing Office Manager and has the following contact phone number (805) 548-0775.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 4/16/2014.

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
1207V00000XObstetrics & GynecologyCALIFORNIAYes

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
1W15907BMEDICARE PINCALIFORNIA
2GR0092202MEDICAIDCALIFORNIA

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: 3/30/2025

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