CENTRAL COAST URGENT CARE MEDICAL GROUP (NPI# 1891840088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891840088 |
| Entity Type | Organization |
| Organization Name | CENTRAL COAST URGENT CARE MEDICAL GROUP |
| Other Organization Name | CENTRAL COAST URGENT CARE CENTER |
| Practice Address |
340 East Betteravia Rd Suite C Santa Maria CA 93454-7847 |
| Mailing Address |
Po Box 848722 Boston MA 02284-8722 |
| Practice Telephone | 8059220561 |
| Practice Fax Number | 8059220083 |
| Mailing Telephone | 8059220561 |
| Mailing Fax Number | 8059220083 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | DR. THOMAS A CARUSO (PHYSICIAN PARTNER) |
| Authorized Official Telephone | 8059220561 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1437246022 | 01 |
| CA | MEDICARE PPIN | WG48284A | 01 |
| CA | MEDICARE GROUP ID | W8259 | 01 |
| CA | MEDICARE PPIN | WPT8518A | 01 |
| CA | MEDICARE PPIN | WG61780E | 01 |
| CA | MEDICARE PPIN | WA50123B | 01 |
| CA | NPI | 1376510529 | 01 |
| CA | MEDICARE PPIN | WG32607A | 01 |
| CA | MEDICARE PPIN | WPT10965B | 01 |
| CA | NPI | 1609965433 | 01 |
| CA | BLUE SHIELD | ZZZ16208Z | 01 |
| CA | NPI | 1083643878 | 01 |
| CA | NPI | 1245327840 | 01 |
| CA | NPI | 1891840088 | 01 |
| Other Name | Type Code |
|---|---|
| Central Coast Urgent Care Center | Former Legal Business Name - Organization |
| Street Address |
340 EAST BETTERAVIA RD SUITE C |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-7847 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093018269 | Jaspal S Dhaliwal | General Practice | 2801 Santa Maria Way # A, Santa Maria, CA 93455-2118 | 2010-12-09 |
| 1811940935 | Coast Family Practice | General Practice | 201 S Miller St, Suite 103, Santa Maria, CA 93454-5248 | 2006-05-18 |
| 1053872713 | Restorative Medical PC | General Practice | 1767 S Broadway, Santa Maria, CA 93454-7603 | 2019-03-26 |
| 1609965433 | Thomas Albert Caruso | General Practice | 2271 S. Depot Street, Santa Maria, CA 93455 | 2006-10-12 |
| 1245327840 | Mark Ford Pomerantz | General Practice | 2271 S. Depot Street, Santa Maria, CA 93455 | 2006-10-06 |
| 1285622704 | George J Hiester | General Practice | 220 S Palisade Dr, Suite 104b, Santa Maria, CA 93454-8902 | 2005-10-10 |
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| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on CENTRAL COAST URGENT CARE MEDICAL GROUP.
| 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.