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UROLOGY ASSOCIATES OF THE CENTRAL COAST NPI 1881785764


NPI Information

NPI: 1881785764
Provider Name: UROLOGY ASSOCIATES OF THE CENTRAL COAST

Former Legal Business Name: UROLOGY ASSOCIATES OF SAN LUIS OBISPO, A MEDICAL GROUP INC.

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 05D0941106

Address:
225 PRADO RD
SUITE D
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 786-2500
Get Directions

UROLOGY ASSOCIATES OF THE CENTRAL COAST is an urology in San Luis Obispo, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY ASSOCIATES OF THE CENTRAL COAST NPI is 1881785764. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Urology Associates Of San Luis Obispo, A Medical Group Inc..

The provider's business location address is:

225 PRADO RD
SUITE D
SAN LUIS OBISPO, CA
ZIP 93401-363
Phone: (805) 786-2500
Fax: (805) 781-0423

The provider's authorized official is Craig W Canfield .
The authorized official title is President and has the following contact phone number (805) 541-1111.

The CLIA number assigned to this NPI record is 05D0941106 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/11/2017.


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
1208800000XUrologyYes

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
1GR0041433MEDICAIDCALIFORNIA
2W7179AMEDICARE PINCALIFORNIA
3GR0041430MEDICAIDCALIFORNIA
4GR0041432MEDICAIDCALIFORNIA
5GR0041431MEDICAIDCALIFORNIA
6W7179CMEDICARE PINCALIFORNIA
7W7179BMEDICARE PINCALIFORNIA
8W7179MEDICARE PINCALIFORNIA

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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