CENTRAL COAST REGENERATIVE MEDICINE INC
NPI 1649818626
Family Medicine in San Luis Obispo, CA

Active since December 20, 2019
628 CALIFORNIA BLVD STE E, SAN LUIS OBISPO, CA 93401(805) 540-2010 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2021, Apr 7, 2021, Dec 20, 2019 (3 updates tracked since 2019).

About Central Coast Regenerative Medicine Inc NPPES

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

CENTRAL COAST REGENERATIVE MEDICINE INC (NPI 1649818626) is a healthcare organization registered as a family medicine in San Luis Obispo, California and active in the NPI registry since December 2019. The organization lists Ellexis E Khan, Owner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1649818626
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL COAST REGENERATIVE MEDICINE INC
Location Address628 CALIFORNIA BLVD STE ESan Luis Obispo, CA 93401-2548
Mailing Address628 California Blvd Ste ESan Luis Obispo, CA 93401-2548 · (805) 540-2010
Organization SubpartNo
Authorized OfficialEllexis E KhanOwner, Authorized Official · (530) 415-6549
Enumeration DateDecember 20, 2019
Last NPPES UpdateApril 23, 20213 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
NPI 1649818626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
628 CALIFORNIA BLVD STE E, San Luis Obispo, CA 93401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Chiropractor
628 CALIFORNIA BLVD STE E
SAN LUIS OBISPO, CA 93401
Chiropractor
628 CALIFORNIA BLVD STE E
SAN LUIS OBISPO, CA 93401

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 Regenerative Medicine Inc's NPI number?

The NPI number for Central Coast Regenerative Medicine Inc is 1649818626. It was assigned to this organization in the NPPES registry on December 20, 2019.

Where is Central Coast Regenerative Medicine Inc located?

Central Coast Regenerative Medicine Inc is located at 628 California Blvd Ste E, San Luis Obispo, CA 93401. The listed phone number is (805) 540-2010.

What is Central Coast Regenerative Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Central Coast Regenerative Medicine Inc was last updated on April 23, 2021. 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.