CENTRAL COAST PEDIATRICS INC
NPI 1770517724
Pediatrics in San Luis Obispo, CA

Q: What is Central Coast Pediatrics Inc's NPI number?

The NPI number for Central Coast Pediatrics Inc is 1770517724. It was assigned to this organization in the NPPES registry on July 10, 2006.

Q: What is Central Coast Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 10, 2006

1235 OSOS ST, SUITE 100, SAN LUIS OBISPO, CA 93401(805) 549-0888(805) 549-8463 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Central Coast Pediatrics Inc NPPES

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

CENTRAL COAST PEDIATRICS INC (NPI 1770517724) is a healthcare organization registered as a pediatrics in San Luis Obispo, California and active in the NPI registry since July 2006. The organization lists Richard J Macias, President/cfo, as its authorized official.

NPPES Registry Identity

NPI1770517724

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCENTRAL COAST PEDIATRICS INC

Location Address1235 OSOS ST, SUITE 100San Luis Obispo, CA 93401-3600

Mailing Address1235 Osos St, Suite 100San Luis Obispo, CA 93401-3600 · (805) 549-0888 · Fax (805) 549-8463

Phone(805) 549-0888

Fax(805) 549-8463

Organization SubpartNo

Authorized OfficialRichard J MaciasPresident/cfo · (805) 549-0888

Enumeration DateJuly 10, 2006

Last NPPES UpdateMay 5, 2022

NPPES CertifiedMay 5, 2022

✔ NPI 1770517724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1235 OSOS ST, San Luis Obispo, CA 93401

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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

Other Providers at the Same Location NPPES 9

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

DR. KATHLEEN L LONG M.D.

Pediatrics (Adolescent Medicine)