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CENTRAL COAST PAIN MANAGEMENT SPECIALISTS, INC.
NPI 1245841394
Specialist in San Luis Obispo, CA

Active since August 12, 2020
10 SANTA ROSA ST STE 201, SAN LUIS OBISPO, CA 93405(805) 597-8314(805) 597-8350 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2020, Aug 12, 2020 (2 updates tracked since 2020).

About Central Coast Pain Management Specialists, Inc. NPPES

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

CENTRAL COAST PAIN MANAGEMENT SPECIALISTS, INC. (NPI 1245841394) is a healthcare organization registered as a specialist in San Luis Obispo, California and active in the NPI registry since August 2020. The organization lists Carlos Untal, President, as its authorized official.

NPPES Registry Identity

NPI1245841394
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCENTRAL COAST PAIN MANAGEMENT SPECIALISTS, INC.
Location Address10 SANTA ROSA ST STE 201San Luis Obispo, CA 93405-5826
Mailing AddressPo Box 5458San Luis Obispo, CA 93403-5458 · (805) 597-8314 · Fax (805) 597-8350
Phone(805) 597-8314
Fax(805) 597-8350
Organization SubpartNo
Authorized OfficialCarlos UntalPresident · (805) 597-8314
Enumeration DateAugust 12, 2020
Last NPPES UpdateAugust 19, 20202 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1245841394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10 SANTA ROSA ST STE 201, San Luis Obispo, CA 93405
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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 5

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

MARIA ANGELICA MOLINA FLORES FNP
Nurse Practitioner (Family)
10 SANTA ROSA ST STE 201
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 544-7246
SAMER S. OTHMAN MD
Internal Medicine
10 SANTA ROSA ST STE 201
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 544-7246
ALLICIA BELL
Nurse Practitioner (Family)
10 SANTA ROSA ST STE 201
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 544-7246
RHAELYNN BONHAM NP
Registered Nurse (Perinatal)
10 SANTA ROSA ST STE 201
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 597-8386
RUSS LLOYD LEVITAN MD
Specialist
10 SANTA ROSA ST STE 201
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 544-7246

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 Pain Management Specialists, Inc.'s NPI number?

The NPI number for Central Coast Pain Management Specialists, Inc. is 1245841394. It was assigned to this organization in the NPPES registry on August 12, 2020.

Where is Central Coast Pain Management Specialists, Inc. located?

Central Coast Pain Management Specialists, Inc. is located at 10 Santa Rosa St Ste 201, San Luis Obispo, CA 93405. The listed phone number is (805) 597-8314.

What is Central Coast Pain Management Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Central Coast Pain Management Specialists, Inc. was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.