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CENTRAL COAST URGENT CARE MEDICAL GROUP NPI 1891840088


NPI Information

NPI: 1891840088
Provider Name: CENTRAL COAST URGENT CARE MEDICAL GROUP

Former Legal Business Name: CENTRAL COAST URGENT CARE CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
340 EAST BETTERAVIA RD
SUITE C
SANTA MARIA, CA
ZIP 93454
Phone: (805) 922-0561
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CENTRAL COAST URGENT CARE MEDICAL GROUP is a general practice in Santa Maria, CA. CENTRAL COAST URGENT CARE MEDICAL GROUP NPI is 1891840088. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Central Coast Urgent Care Center.

The provider's business location address is:

340 EAST BETTERAVIA RD
SUITE C
SANTA MARIA, CA
ZIP 93454-847
Phone: (805) 922-0561
Fax: (805) 922-0083

The provider's authorized official is Thomas A Caruso .
The authorized official title is Physician Partner and has the following contact phone number (805) 922-0561.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/17/2009.


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
1208D00000XGeneral PracticeYes

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
1WG48284AOTHERCALIFORNIAMEDICARE PPIN
21083643878OTHERCALIFORNIANPI
31376510529OTHERCALIFORNIANPI
41437246022OTHERCALIFORNIANPI
51245327840OTHERCALIFORNIANPI
61891840088OTHERCALIFORNIANPI
7WA50123BOTHERCALIFORNIAMEDICARE PPIN
8W8259OTHERCALIFORNIAMEDICARE GROUP ID
9WPT8518AOTHERCALIFORNIAMEDICARE PPIN
10ZZZ16208ZOTHERCALIFORNIABLUE SHIELD
11WG32607AOTHERCALIFORNIAMEDICARE PPIN
121609965433OTHERCALIFORNIANPI
13WG61780EOTHERCALIFORNIAMEDICARE PPIN
14WPT10965BOTHERCALIFORNIAMEDICARE PPIN
150358910001MEDICARE NSCCALIFORNIA

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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