Pacific Coast Spine Center a Physical Therapy Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

C3123027 Issued in CA

Legal business name

PACIFIC COAST SPINE CENTER A PHYSICAL THERAPY CORP

Doing business as

Pacific Coast Spine Center

Practice address

880 Oak Park Blvd
Suite 201
Arroyo Grande, CA 93420-1821

Phone

(805) 489-1477

Fax

(805) 489-2356

NPI assigned

Jun 26, 2008

Last updated

Dec 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Michael Davis, D.C.NPI 1295881738

Title

President

Phone

(805) 489-1477

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pacific Coast Spine Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Michael Davis, D.C.

  • Chiropractor
  • Grover Beach, CA
  • NPI 1295881738
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1013179597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 OAK PARK BLVD",
            "address_2": "SUITE 201",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201821",
            "telephone_number": "805-489-1477",
            "fax_number": "805-489-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 OAK PARK BLVD",
            "address_2": "SUITE 201",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201821",
            "telephone_number": "805-489-1477",
            "fax_number": "805-489-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST SPINE CENTER A PHYSICAL THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-489-1477",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "C3123027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY BUSINESS LICENSE-ARROYO GRANDE, CA 93420",
            "identifier": "55851",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "C3123027",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Coast Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxanne Ouweleen, DPT
• Anna-Liza Pacaoan, RN
• Pacific Central Coast Health Centers (Fair Oaks Specialty Center)
• Pacific Central Coast Health Centers (Mission Hope Medical Oncology - Arroyo Grande)
• Pacific Central Coast Health Centers (Arroyo Grande Specialty Center)
• Pacific Midwifery
• Pacific Shores Dermatology & Skin Cancer Institute
• Pacific Youth Coalition
• Nazifa Paillet, FNP-C
• David L. Palchak, M.D.

• Physical Therapist in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.