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CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
NPI 1013181817
Obstetrics & Gynecology in San Luis Obispo, CA

Active since April 14, 2008
35 CASA STREET, SUITE 220, SAN LUIS OBISPO, CA 93405(805) 548-0775(805) 548-0777 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Coast Obstetrics & Gynecology, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC. (NPI 1013181817) is a healthcare organization registered as an obstetrics & gynecology in San Luis Obispo, California and active in the NPI registry since April 2008. The organization lists Danny Leroy Lickness, President, as its authorized official.

NPPES Registry Identity

NPI1013181817
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
Location Address35 CASA STREET, SUITE 220San Luis Obispo, CA 93405-1890
Mailing Address100 Casa Street, Suite BSan Luis Obispo, CA 93405-1893 · (805) 548-0775 · Fax (805) 548-0777
Phone(805) 548-0775
Fax(805) 548-0777
Organization SubpartNo
Authorized OfficialDanny Leroy LicknessPresident · (805) 544-8811
Enumeration DateApril 14, 2008
Last NPPES UpdateJune 24, 2010
✔ NPI 1013181817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
35 CASA STREET, San Luis Obispo, CA 93405
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Other Identifiers 2

MedicaidGR0092200CA
Medicare PINW15907ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANNY LEROY LICKNESS MD
Obstetrics & Gynecology
35 CASA STREET, SUITE 220
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 786-4111
VICKI L CHARBONNEAU NP, CNM
Nurse Practitioner
35 CASA STREET, SUITE 220
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 786-4111
CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
Obstetrics & Gynecology
35 CASA STREET, SUITE 220
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 548-0775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Coast Obstetrics & Gynecology, Inc.'s NPI number?

The NPI number for Central Coast Obstetrics & Gynecology, Inc. is 1013181817. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Central Coast Obstetrics & Gynecology, Inc. located?

Central Coast Obstetrics & Gynecology, Inc. is located at 35 Casa Street Suite 220, San Luis Obispo, CA 93405. The listed phone number is (805) 548-0775.

What is Central Coast Obstetrics & Gynecology, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Central Coast Obstetrics & Gynecology, Inc. was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.