CENTRAL COAST KIDNEY DISEASE CENTER INC. – NPI #1033141254
Clinic/Center

CENTRAL COAST KIDNEY DISEASE CENTER INC. is an AHC clinic located in SANTA MARIA, CA. NPPES has assigned the NPI number 1033141254 to CENTRAL COAST KIDNEY DISEASE CENTER INC. on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 15 years ago on Dec 07, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL COAST KIDNEY DISEASE CENTER INC. below.

NPI Profile for
CENTRAL COAST KIDNEY DISEASE CENTER INC.

NPI Number
1033141254
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL COAST KIDNEY DISEASE CENTER INC.
Primary location
2263 S. DEPOT RD.
SANTA MARIA, CA 93455
Phone: (805) 349-8600 Fax: (805) 928-5145
Mailing address
116 S PALISADE DR
100
SANTA MARIA, CA 93454-8904
Phone: (805) 614-0694 Fax: (805) 349-9004
Organization Subpart
No
Authorized Official
MUTHIYALIAH BABU
ADMINISTRATOR
Phone: (805) 349-0198
Updated
Identifiers

Identifiers for CENTRAL COAST KIDNEY DISEASE CENTER INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCACDC02871F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.