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CENTRAL COAST PEDIATRIC SURGICAL ASSOCIATES INC. NPI 1780198523


NPI Information

NPI: 1780198523
Provider Name: CENTRAL COAST PEDIATRIC SURGICAL ASSOCIATES, INC.
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
400 W PUEBLO ST
SANTA BARBARA, CA
ZIP 93105
Phone: (805) 879-4271
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CENTRAL COAST PEDIATRIC SURGICAL ASSOCIATES, INC. is a pediatric surgery surgery in Santa Barbara, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. CENTRAL COAST PEDIATRIC SURGICAL ASSOCIATES, INC. NPI is 1780198523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 W PUEBLO ST
SANTA BARBARA, CA
ZIP 93105-353
Phone: (805) 879-4271

The provider's authorized official is Robert C Kanard .
The authorized official title is Owner and has the following contact phone number (224) 420-0879.

The enumeration date for this NPI number is 11/30/2017 and was last updated on 11/30/2017.


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
1208000000XPediatricsNo
22080P0203XPediatricsPediatric Critical Care MedicineNo
32086S0120XSurgeryPediatric SurgeryYes

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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