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CENTRAL COAST OTOLARYNGOLOGY
NPI 1043623960
Clinic/Center - Medical Specialty in Santa Maria, CA

Active since June 09, 2014
116 S PALISADE DR STE 206, SANTA MARIA, CA 93454(805) 614-9250 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Coast Otolaryngology NPPES

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

CENTRAL COAST OTOLARYNGOLOGY (NPI 1043623960) is a healthcare organization registered as a medical specialty in Santa Maria, California and active in the NPI registry since June 2014. The organization lists Richard Wikholm, Owner And Physician, as its authorized official.

NPPES Registry Identity

NPI1043623960
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCENTRAL COAST OTOLARYNGOLOGY
Location Address116 S PALISADE DR STE 206Santa Maria, CA 93454-8906
Mailing Address116 S Palisade Dr Ste 206Santa Maria, CA 93454-8906 · (805) 614-9250
Phone(805) 614-9250
Organization SubpartNo
Authorized OfficialRichard WikholmOwner And Physician · (805) 614-9250
Enumeration DateJune 9, 2014
✔ NPI 1043623960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · PA13405
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
116 S PALISADE DR STE 206, Santa Maria, CA 93454
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Other Providers at the Same Location NPPES 2

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

DR. YI-HSIN TAI AU.D.
Audiologist-Hearing Aid Fitter
116 S PALISADE DR STE 206
SANTA MARIA, CA 93454
Santa Barbara County (805) 614-9250
JENNA DARWICHE
Physician Assistant
116 S PALISADE DR STE 206
SANTA MARIA, CA 93454
Santa Barbara County (805) 614-9250

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 Otolaryngology's NPI number?

The NPI number for Central Coast Otolaryngology is 1043623960. It was assigned to this organization in the NPPES registry on June 9, 2014.

Where is Central Coast Otolaryngology located?

Central Coast Otolaryngology is located at 116 S Palisade Dr Ste 206, Santa Maria, CA 93454. The listed phone number is (805) 614-9250.

What is Central Coast Otolaryngology's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Central Coast Otolaryngology was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.