Active NPI
Central Coast Neurology Medical Group, Inc.
- Neurology Physician
- San Francisco, CA
National Provider Identifier
1003846403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2153903
- Legal business name
- CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC.
- Practice address
- 2250 Hayes St Ste 206
San Francisco, CA 94117-1078 - Phone
- (415) 379-6100
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary S. Genevieve, M.D.
- Title
- President
- Phone
- (415) 379-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2153903 | CA | Primary |
Addresses
Primary practice location
2250 Hayes St Ste 206
San Francisco, CA 94117-1078
Mailing address
2250 Hayes St Ste 206
San Francisco, CA 94117-1078
Phone (415) 379-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Central Coast Neurology Medical Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Neurophysiology Physician
- San Luis Obispo, CA
- NPI 1790199479
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- San Francisco, CA
- NPI 1871598706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1003846403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 HAYES ST STE 206",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171078",
"telephone_number": "415-379-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 HAYES ST STE 206",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171078",
"telephone_number": "415-379-6100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL COAST NEUROLOGY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "GENEVIEVE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-379-6100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "2153903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.