CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
NPI 1962676775
Obstetrics & Gynecology in San Luis Obispo, CA

NPI Status: Active since April 14, 2008

Contact Information

35 CASA STREET
SUITE 220
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 548-0775
Fax: (805) 548-0777

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  • Organization
  • Obstetrics & Gynecology

About CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.

This page provides the complete NPI Profile along with additional information for Central Coast Obstetrics & Gynecology, Inc., a women's health care provider established in San Luis Obispo, California operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1962676775 assigned on April 2008. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Danny Leroy Lickness M.d. (President)

NPI
1962676775
Provider Name
CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
Entity Type
Organization
Location Address
35 CASA STREET SUITE 220 SAN LUIS OBISPO, CA 93405
Location Phone
(805) 548-0775
Location Fax
(805) 548-0777
Mailing Address
100 CASA STREET SUITE B SAN LUIS OBISPO, CA 93405
Mailing Phone
(805) 548-0775
Mailing Fax
(805) 548-0777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2008
Last Update Date
06-25-2010
Code Navigator

Women's health care providers like Central Coast Obstetrics & Gynecology, Inc. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DANNY LEROY LICKNESS M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(805) 544-8811

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GR0092003MEDICAID (05)CA 
W15907CMEDICARE PIN (08)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962676775, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 2 + 7 + 1 + 2 + 7 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962676775.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
35 CASA STREET, SUITE 220
SAN LUIS OBISPO, CA 93405
Nurse Practitioner
35 CASA STREET, SUITE 220
SAN LUIS OBISPO, CA 93405
Obstetrics & Gynecology
35 CASA STREET, SUITE 220
SAN LUIS OBISPO, CA 93405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962676775, enumerated as an "organization" on April 14, 2008.

The provider is located at 35 CASA STREET SUITE 220 SAN LUIS OBISPO, CA 93405 and the phone number is (805) 548-0775.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.