CENTRAL COAST CHEST CONSULTANTS MEDICAL CORPORATION – NPI #1740267574
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

CENTRAL COAST CHEST CONSULTANTS MEDICAL CORPORATION is a provider located in SAN LUIS OBISPO, CA. NPPES has assigned the NPI number 1740267574 to CENTRAL COAST CHEST CONSULTANTS MEDICAL CORPORATION on December 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL COAST CHEST CONSULTANTS MEDICAL CORPORATION” is a dba name, the actual legal business name for this organization is CENTRAL COAST CHEST CONSULTANTS A MEDICAL CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was last updated on Jun 11, 2024. 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 CHEST CONSULTANTS MEDICAL CORPORATION below.

NPI Profile for
CENTRAL COAST CHEST CONSULTANTS A MEDICAL CORPORATION

NPI Number
1740267574
Enumeration Date

(more than 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 CHEST CONSULTANTS A MEDICAL CORPORATION
Doing Business As (dba): CENTRAL COAST CHEST CONSULTANTS MEDICAL CORPORATION
Primary location
1428 PHILLIPS LN
SUITE 203
SAN LUIS OBISPO, CA 93401-2537
Phone: (805) 543-4407 Fax: (805) 543-4587
Mailing address
PO BOX 12460
SAN LUIS OBISPO, CA 93406-2460
Phone: (805) 548-1142 Fax: (805) 234-9985
Organization Subpart
No
Authorized Official
MICHAEL RYAN
PRESIDENT
Phone: (805) 543-4407
Updated
Certification Date
Jun 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CENTRAL COAST CHEST CONSULTANTS MEDICAL CORPORATION

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.

See identifiers
DescriptionIssuerStateIdentifier
otherBLUE SHIELD PIN - FRENCHCAZZZ138136Z
otherBLUE SHIELD PIN - PHILLIPCAZZZ25763Z
otherBLUE SHIELD PIN - SVRMCCAZZZ138137Z
otherBLUE SHIELD TEMPLETONCAZZZ13198Z
otherUS DOL PIN184149800
medicaidCAGR0046460
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
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)
CA 2070377
207RP1001X
- Internal Medicine / Pulmonary Disease
CA 2070377
207R00000X
- Internal Medicine
CA A62340

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.