CENTRAL COAST RENAL CARE INC – NPI #1578716759
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CENTRAL COAST RENAL CARE INC is a provider located in SAN LUIS OBISPO, CA. NPPES has assigned the NPI number 1578716759 to CENTRAL COAST RENAL CARE INC on October 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 RENAL CARE INC below.

NPI Profile for
CENTRAL COAST RENAL CARE INC

NPI Number
1578716759
Enumeration Date

(more than 17 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 RENAL CARE INC
Primary location
1551 BISHOP ST BLDG A STE 110
SAN LUIS OBISPO, CA 93401-4692
Phone: (805) 548-8585 Fax: (805) 548-8589
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRIAN PENTON
PRESIDENT
Phone: (805) 548-8585
Updated
Identifiers

Identifiers for CENTRAL COAST RENAL CARE 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
OTHERSLO COUNTY MEDICAL SERVICES PROGRAM- GROUP PIN NUMBERCA1221
OTHERSTATE CORPORATION NUMBERCAC3163787
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
207RN0300X
- Internal Medicine / Nephrology (Primary)
CA

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.