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CENTRAL COAST PEDIATRICS INC
NPI 1083869804
Pediatrics - Adolescent Medicine in Templeton, CA

Active since November 20, 2008CLIA 05D0913049 · Waiver
1320 LAS TABLAS RD, SUITE D, TEMPLETON, CA 93465(805) 434-3796 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Coast Pediatrics Inc NPPES

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

CENTRAL COAST PEDIATRICS INC (NPI 1083869804) is a healthcare organization registered as an adolescent medicine in Templeton, California and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Richrd J Macias, Pres/cfo, as its authorized official.

NPPES Registry Identity

NPI1083869804
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameCENTRAL COAST PEDIATRICS INC
Location Address1320 LAS TABLAS RD, SUITE DTempleton, CA 93465-9711
Mailing Address1320 Las Tablas Rd, Suite DTempleton, CA 93465-9711 · (805) 434-3796
Phone(805) 434-3796
Organization SubpartYes
Authorized OfficialRichrd J MaciasPres/cfo · (805) 549-0888
Enumeration DateNovember 20, 2008
Last NPPES UpdateMay 5, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1083869804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1320 LAS TABLAS RD, Templeton, CA 93465
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Other Identifiers 1

MedicaidGR0059300CA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0913049

Central Coast Pediatrics Inc · Templeton, CA
Active · expires Aug 15, 2027
CLIA Number05D0913049
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorDr. Richard J. Macias
Laboratory Phone(805) 434-3796
Laboratory LocationCentral Coast Pediatrics Inc1320 Las Tablas Rd, Ste D, Templeton, CA 93465
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

LESLIE ANN JOSLIN NP-C
Nurse Practitioner (Family)
1320 LAS TABLAS RD, STE F
TEMPLETON, CA 93465
San Luis Obispo County (805) 928-0610
DR. RANDOLPH SCHUYLER LAWRENCE M.D.
Surgery
1320 LAS TABLAS RD, SUITE C
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0811
SAN LUIS OBISPO CA ENDOSCOPY ASC LP
Clinic/Center (Ambulatory Surgical)
1320 LAS TABLAS RD, SUITE A
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-9950
DR. EDWARD PAUL JARDINI M.D.
Family Medicine
1320 LAS TABLAS RD, SUITE F
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0025
REANNA LYNN CLAYTON MSN, FNP-C
Nurse Practitioner (Primary Care)
1320 LAS TABLAS RD
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0025
BRADLEY S KURGIS D O INC
Dermatology (MOHS-Micrographic Surgery)
1320 LAS TABLAS RD, SUITE B
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-5563
LOMELINO MEDICAL GROUP PC
Family Medicine
1320 LAS TABLAS RD, SUITE F
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0025
DEBRA LEE BALKE MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1320 LAS TABLAS RD, SUITE E
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0960

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 Pediatrics Inc's NPI number?

The NPI number for Central Coast Pediatrics Inc is 1083869804. It was assigned to this organization in the NPPES registry on November 20, 2008.

Where is Central Coast Pediatrics Inc located?

Central Coast Pediatrics Inc is located at 1320 Las Tablas Rd Suite D, Templeton, CA 93465. The listed phone number is (805) 434-3796.

What is Central Coast Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Central Coast Pediatrics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0913049) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Coast Pediatrics Inc was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.