CENTRAL COAST IN-PATIENT CONSULTANTS, INC. (NPI# 1609096882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609096882 |
| Entity Type | Organization |
| Organization Name | CENTRAL COAST IN-PATIENT CONSULTANTS, INC. |
| Practice Address |
1400 East Chruch Street Santa Maria CA 93456-5906 |
| Mailing Address |
Po Box 188 Oakdale CA 95361-0188 |
| Practice Telephone | 8057393000 |
| Mailing Telephone | 2098451346 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRYAN Y WILLIAMSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 2098451346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | FNP35858 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1400 EAST CHRUCH STREET |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93456-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152270 | Nicole Freche | Dietitian, Registered | 210 S Palisade Dr Ste 200, Santa Maria, CA 93454-8900 | 2020-10-22 |
| 1093314965 | Sunitha Warrier | Occupational Therapist | 1253 W Sonya Ln Unit 202, Santa Maria, CA 93458-6587 | 2020-10-21 |
| 1841807336 | Chanvattanak Bun | Dentist | 1212 Jackie Ln, Santa Maria, CA 93454-5926 | 2020-09-28 |
| 1952917189 | Kayla Benado | Lactation Consultant, Non-RN | 4653 California Blvd, Santa Maria, CA 93455-4158 | 2020-09-22 |
| 1437765393 | Jessica Jewel Morrow | Technician/Technologist | 466 Cory Ct, Santa Maria, CA 93455-5525 | 2020-09-16 |
| 1457965931 | Dawoom Healthcare Center Inc | Acupuncturist | 124 Carmen Ln Ste E, Santa Maria, CA 93458-7768 | 2020-09-02 |
| 1326651548 | Clayton Ore Johnson | Dentist | 1315 S Miller St Ste 201, Santa Maria, CA 93454-6910 | 2020-08-27 |
| 1285242388 | Koushan Azad Dmd. Inc | Clinic/Center | 238 E Betteravia Rd Ste C, Santa Maria, CA 93454-7889 | 2020-07-15 |
| 1336767334 | Porfirio Garcia Diaz | Specialist/Technologist | 930 W Cook St Apt 7, Santa Maria, CA 93458-5463 | 2020-07-07 |
| 1235755661 | Elias Gonzalez | Social Worker | 1404 N Lincoln St, Santa Maria, CA 93458-2132 | 2020-06-22 |
| Find all providers in SANTA MARIA | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780010603 | Connor Vanderveer Johnson | Internal Medicine | 1400 E Church St., Santa Maria, CA 93454 | 2013-09-24 |
| 1861700981 | Laura Lee Sprague | Internal Medicine | 4332 Manchester Ct, Santa Maria, CA 93455-3502 | 2010-09-23 |
| 1588979371 | Roman Winter | Internal Medicine | 1400 E. Church St., Santa Maria, CA 93454-5906 | 2010-08-17 |
| 1285822015 | Central Coast Family Care Medical Associates, Inc | Internal Medicine | 1505 Shepard Dr Ste 131, Santa Maria, CA 93454-7016 | 2007-10-05 |
| 1285732636 | Michael K Kazak | Internal Medicine | 1040 W Main St, Santa Maria, CA 93458 | 2006-09-20 |
| 1356331185 | Rashiklal Patel | Internal Medicine | 1102 East Clark Avenue, Suite 120a, Santa Maria, CA 93455-5175 | 2005-10-24 |
| 1972596963 | Victor Manuel Guerrero | Internal Medicine | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2005-08-25 |
| 1184279606 | New Vision Telemedicine and Medical Consultant, Inc. | Internal Medicine | 830 E Chapel St, Santa Maria, CA 93454-4610 | 2019-08-02 |
| 1346720620 | Giant Sequoia Healthcare Inc. | Internal Medicine | 1400 E Church St, Santa Maria, CA 93454-5906 | 2018-08-16 |
| 1821501560 | S Corp Inc | Internal Medicine | 830 E Chapel St, Santa Maria, CA 93454-4610 | 2017-11-15 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93456 |
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| 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.