Central Coast Pediatrics Inc
Pediatrics
Central Coast Pediatrics Inc is a San Luis Obispo, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1235 Osos St, Suite 100, San Luis Obispo, California - 93401-3600. They can be contacted on phone at
805-549-0888 and fax number 805-549-8463.
NPI number (Unique professional ID) for Central Coast Pediatrics Inc is
1770517724 which was assigned by NPPES on 10 Jul, 2006 and it was last updated on 05 May, 2022.
Central Coast Pediatrics Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Central Coast Pediatrics Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Central Coast Pediatrics Inc |
|---|
Business Address:
Central Coast Pediatrics Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1235 Osos St, Suite 100
San Luis Obispo, CA, 93401-3600
United States |
|---|
| Phone Number : | 805-549-0888 |
|---|
| Fax Number : | 805-549-8463 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770517724 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 10 Jul, 2006 |
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| Last Updated On : | 05 May, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Richardj Macias |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT/CFO |
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| Phone Number : | 805-549-0888 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Central Coast Pediatrics Inc are as mentioned. Primary taxonomy code for Central Coast Pediatrics Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | CA |
Legacy Identifiers:
Other legacy medical identifiers of Central Coast Pediatrics Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0059300 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1235 Osos St, Suite 100
San Luis Obispo, CA, 93401-3600
United States |
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| Phone Number : | 805-549-0888 |
|---|
| Fax Number : | 805-549-8463 |
|---|
Business Location:
Patients can refer following map for directions to
Central Coast Pediatrics Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.