Active NPI
Coast Radiology Medical Associates a California General Partnership
- Diagnostic Radiology Physician
- Arroyo Grande, CA
National Provider Identifier
1023155017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- COAST RADIOLOGY MEDICAL ASSOCIATES A CALIFORNIA GENERAL PARTNERSHIP
- Practice address
- 345 S Halcyon Rd
Arroyo Grande, CA 93420-3896 - Phone
- (805) 434-4989
- Fax
- (805) 434-0721
- NPI assigned
- Jan 31, 2007
- 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
- William Ashely, MD
- Title
- Partner
- Phone
- (805) 473-7676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
345 S Halcyon Rd
Arroyo Grande, CA 93420-3896
Mailing address
PO Box 1507
Templeton, CA 93465-1507
Phone (805) 434-4989
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ24146Z | Other | CA | BLUE SHIELD GRP ID |
| GR0044610 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
921 Oak Park Blvd
Ste 100B
Pismo Beach, CA 93449
Phone (805) 461-7083
921 Oak Park Blvd
Ste 101B
Pismo Beach, CA 93449
Phone (805) 481-4705
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Arroyo Grande, CA
- NPI 1255687851
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377043200000",
"number": "1023155017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1507",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934651507",
"telephone_number": "805-434-4989",
"fax_number": "805-434-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 S HALCYON RD",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203896",
"telephone_number": "805-434-4989",
"fax_number": "805-434-0721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COAST RADIOLOGY MEDICAL ASSOCIATES A CALIFORNIA GENERAL PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2013-08-21",
"status": "A",
"authorized_official_last_name": "ASHELY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "805-473-7676",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GRP ID",
"identifier": "ZZZ24146Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0044610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.