CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES (NPI# 1558461418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558461418 |
| Entity Type | Organization |
| Organization Name | CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES |
| Practice Address |
1035 Peach St Suite 301 San Luis Obispo CA 93401-2700 |
| Mailing Address |
Po Box 13211 San Luis Obispo CA 93406-3211 |
| Practice Telephone | 8055455665 |
| Practice Fax Number | 8055446477 |
| Mailing Telephone | 8055455665 |
| Mailing Fax Number | 8055446477 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | DR. WILLIAM J. WATSON (OWNER) |
| Authorized Official Telephone | 8055455665 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G42368 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROO46750 | 05 | |
| CA | AETNA PIN | 4306521 | 01 |
| CA | BLUE SHIELD PIN | ZZZ25994Z | 01 |
| Street Address |
1035 PEACH ST SUITE 301 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598706 | Mary S. Genevieve | Psychiatry & Neurology | 1035 Peach St, Ste 204, San Luis Obispo, CA 93401-2700 | 2005-06-16 |
| 1629463088 | Bianca Iglesias | Physician Assistant | 1035 Peach St, Suite 201, San Luis Obispo, CA 93401-2700 | 2015-04-02 |
| 1790199479 | Central Coast Neurology Medical Group, Inc | Psychiatry & Neurology | 1035 Peach St, Suite 204, San Luis Obispo, CA 93401-2700 | 2014-06-20 |
| 1093017121 | Ke-ping Tsao, Md | Specialist | 1035 Peach St, Suite 303, San Luis Obispo, CA 93401-2700 | 2010-11-22 |
| 1750536124 | Seven Sisters Obstetrics and Gynecology, Inc | Obstetrics & Gynecology | 1035 Peach St, Suite 301, San Luis Obispo, CA 93401-2700 | 2008-11-25 |
| 1720146772 | Johanna Powden Golston | Registered Nurse | 1035 Peach St, Suite 201, San Luis Obispo, CA 93401-2700 | 2006-12-04 |
| 1003846403 | Central Coast Neurology Medical Group, Inc. | Neurological Surgery | 1035 Peach St, Suite 204, San Luis Obispo, CA 93401-2700 | 2006-07-03 |
| 1023007507 | William J. Watson | Otolaryngology | 1035 Peach St, Suite 301, San Luis Obispo, CA 93401-2700 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1518910272 | John T Mcmahan | Otolaryngology | 100 Casa St Ste B, San Luis Obispo, CA 93405-8803 | 2006-05-17 |
| 1750852810 | Ent Medical and Surgical Care A Professional Corporation | Otolaryngology | 100 Casa St Ste B, San Luis Obispo, CA 93405-8803 | 2018-12-16 |
| 1366679516 | David Jackson Levin | Otolaryngology | 100 Casa St Ste B, San Luis Obispo, CA 93405-8803 | 2009-06-15 |
| 1023007507 | William J. Watson | Otolaryngology | 1035 Peach St, Suite 301, San Luis Obispo, CA 93401-2700 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
| 1790284347 | Veeral Patel | Otolaryngology | 18335 Stanislaus St, Fountain Valley, CA 92708-6843 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES.
| 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.