Organization Active NPI

Coast Radiology Medical Associates a California General Partnership

  • Diagnostic Radiology Physician
  • Arroyo Grande, CA
National Provider Identifier
1023155017
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Aug 21, 2013

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ZZZ24146ZOtherCABLUE SHIELD GRP ID
GR0044610MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.