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CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC
NPI 1790199479
Psychiatry & Neurology - Clinical Neurophysiology in San Luis Obispo, CA

Active since June 20, 2014
1035 PEACH ST, SUITE 204, SAN LUIS OBISPO, CA 93401(805) 544-7511(805) 544-7560 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Coast Neurology Medical Group, Inc NPPES

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

CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC (NPI 1790199479) is a healthcare organization registered as a clinical neurophysiology in San Luis Obispo, California and active in the NPI registry since June 2014. The organization lists Mary S Amir, President, as its authorized official.

NPPES Registry Identity

NPI1790199479
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameCENTRAL COAST NEUROLOGY MEDICAL GROUP, INC
Location Address1035 PEACH ST, SUITE 204San Luis Obispo, CA 93401-2700
Mailing Address1035 Peach St, Suite 204San Luis Obispo, CA 93401-2700 · (805) 544-7511 · Fax (805) 544-7560
Phone(805) 544-7511
Fax(805) 544-7560
Organization SubpartNo
Authorized OfficialMary S AmirPresident · (805) 544-7511
Enumeration DateJune 20, 2014
✔ NPI 1790199479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
License✔ Licensed in CA · G04937
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
1035 PEACH ST, San Luis Obispo, CA 93401
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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.

DR. WILLIAM J. WATSON M.D.
Otolaryngology
1035 PEACH ST, SUITE 301
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-5665
KE-PING TSAO, MD
Specialist
1035 PEACH ST, SUITE 303
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-9377
CHELSEA LEITCHER AMFT
Marriage & Family Therapist
1035 PEACH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (510) 764-2428
CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES
Otolaryngology
1035 PEACH ST, SUITE 301
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 545-5665
SEVEN SISTERS OBSTETRICS AND GYNECOLOGY, INC
Obstetrics & Gynecology (Obstetrics)
1035 PEACH ST, SUITE 301
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-1475

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 Neurology Medical Group, Inc's NPI number?

The NPI number for Central Coast Neurology Medical Group, Inc is 1790199479. It was assigned to this organization in the NPPES registry on June 20, 2014.

Where is Central Coast Neurology Medical Group, Inc located?

Central Coast Neurology Medical Group, Inc is located at 1035 Peach St Suite 204, San Luis Obispo, CA 93401. The listed phone number is (805) 544-7511.

What is Central Coast Neurology Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Central Coast Neurology Medical Group, Inc was last updated on June 20, 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.