COAST FAMILY PRACTICE NPI 1902022890

NPI Information

  • NPI: 1902022890
  • Provider Name: COAST FAMILY PRACTICE
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Organization
  • Other Name: ANDREW J. HENNING
  • Address: 607 PLAZA DR
    SUITE C201
    SANTA MARIA, CA
    ZIP 93454
  • Phone: (805) 928-3636

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NPI Details

COAST FAMILY PRACTICE is a physician assistant in Santa Maria, CA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. COAST FAMILY PRACTICE NPI is 1902022890. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Andrew J. Henning.

The provider's business location address is:

607 PLAZA DR
SUITE C201
SANTA MARIA, CA
ZIP 93454-944
Phone: (805) 928-3636
Fax: (805) 928-3608

The provider's authorized official is Roxana Mata .
The authorized official title is Physician Assistant and has the following contact phone number (805) 928-3636.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.

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
1363A00000XPhysician AssistantYes

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: 11/21/2025

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