CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC (NPI# 1215125042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215125042 |
| Entity Type | Organization |
| Organization Name | CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC |
| Other Organization Name | CENTRAL COAST FAMILY CARE |
| Practice Address |
915 E Stowell Rd Ste B Santa Maria CA 93454-7010 |
| Mailing Address |
915 E Stowell Rd Suite B Santa Maria CA 93454-7009 |
| Practice Telephone | 8059387424 |
| Practice Fax Number | 8059387422 |
| Mailing Telephone | 8059387424 |
| Mailing Fax Number | 8059387422 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DR. LAURA J THEIS (PRESIDENT) |
| Authorized Official Telephone | 8053491227 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUESHIELD | ZZZ60013Z | 01 |
| Other Name | Type Code |
|---|---|
| Central Coast Family Care | Doing Business As Name - Organization |
| Central Coast Family Care Medical Associates of Santa Maria, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235365891 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 821 E Chapel St Ste 103, Santa Maria, CA 93454-4618 | 2009-06-09 |
| 1285822015 | Central Coast Family Care Medical Associates, Inc | Internal Medicine | 1505 Shepard Dr Ste 131, Santa Maria, CA 93454-7016 | 2007-10-05 |
| 1194913921 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 220 S Palisade Dr Ste 104b, Santa Maria, CA 93454-5931 | 2007-10-05 |
| 1134173859 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 821 E Chapel St Ste 203, Santa Maria, CA 93454-4619 | 2006-05-19 |
| 1093138604 | Central Coast Family Care Medical Associates, Inc | Clinic/Center | 220 S Palisade Dr Ste 104b, Santa Maria, CA 93454-5931 | 2014-02-03 |
| 1881882611 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 355 Daniel Dr Ste 105, Santa Maria, CA 93454-8840 | 2007-10-05 |
| Street Address |
915 E STOWELL RD STE B |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-7010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079382 | Jaydeen Marie Morris | Physician Assistant | 915 E Stowell Rd Ste B, Santa Maria, CA 93454-7010 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619357092 | Rachel Zonca | Family Medicine | 915 E Stowell Rd Ste C, Santa Maria, CA 93454-7010 | 2015-06-01 |
| 1033522404 | Farnaz Pirayesh | Family Medicine | 5075 S Bradley Rd Ste 131, Santa Maria, CA 93455-5077 | 2014-06-03 |
| 1538402813 | Eric G. Levy Medical Corporation | Family Medicine | 525 East Plaza Dr., Suite 300, Santa Maria, CA 93454-6955 | 2013-04-04 |
| 1235365891 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 821 E Chapel St Ste 103, Santa Maria, CA 93454-4618 | 2009-06-09 |
| 1750558219 | Coast Family Practice | Family Medicine | 607 E Plaza Dr Ste C-201, Santa Maria, CA 93454-6944 | 2008-05-14 |
| 1194913921 | Central Coast Family Care Medical Associates, Inc | Family Medicine | 220 S Palisade Dr Ste 104b, Santa Maria, CA 93454-5931 | 2007-10-05 |
| 1679791578 | Diana Garza Garcia | Family Medicine | 117 West Bunny Ave, Santa Maria, CA 93458-2805 | 2007-04-23 |
| 1629292958 | Karen R. Moyes | Family Medicine | 5121 Depot St, Santa Maria, CA 93454-9652 | 2007-04-11 |
| 1962625673 | Tirso Bustamante | Family Medicine | 938 E Main St, Santa Maria, CA 93454-5331 | 2007-04-11 |
| 1396893046 | William Allen Okerblom | Family Medicine | 1145 E Clark Ave Ste C, Santa Maria, CA 93455-5151 | 2007-01-08 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.