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SPEARMAN MD INC. NPI 1508249202


NPI Information

NPI: 1508249202
Provider Name: SPEARMAN MD INC.

Doing Business As: CENTRAL COAST VEIN& VASCULAR

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
901 OAK PARK BLVD STE 103
PISMO BEACH, CA
ZIP 93449
Phone: (805) 888-4744
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SPEARMAN MD INC. is a vascular and interventional radiology radiology in Pismo Beach, CA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. SPEARMAN MD INC. NPI is 1508249202. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Central Coast Vein& Vascular.

The provider's business location address is:

901 OAK PARK BLVD STE 103
PISMO BEACH, CA
ZIP 93449-409
Phone: (805) 888-4744
Fax: (805) 825-3789

The provider's authorized official is Kenneth Spearman .
The authorized official title is President and has the following contact phone number (805) 473-8346.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 4/18/2023.


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
12085R0204XRadiologyVascular & Interventional RadiologyCALIFORNIAYes

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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