Central Coast Nursing Home Physicians, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL COAST NURSING HOME PHYSICIANS, INC.

Practice address

1405 E Main St
Santa Maria, CA 93454-4801

Phone

(805) 704-2108

Fax

(805) 200-2335

NPI assigned

Nov 18, 2025

Organization subpart

No

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

Authorized official

Name

Samer Othman, MDNPI 1437476439

Title

Officer

Phone

(626) 800-7617

Specialties & licenses 1

Addresses

Other names 1

• NextGen Concierge Medicine Doing business as

Tax ID family

Central Coast Nursing Home Physicians Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Coast Nursing Home Physicians, Inc.

  • Internal Medicine Physician
  • San Luis Obispo, CA
  • NPI 1295605475
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samer S. Othman, MD

  • Internal Medicine Physician
  • San Luis Obispo, CA
  • NPI 1437476439
  NPD Authorized official
• Ahmad K Nooristani, M.D.

  • Internal Medicine Physician
  • Santa Maria, CA
  • NPI 1659537306
  NPD

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1033070370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E GRAND AVE STE 103",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202421",
            "telephone_number": "805-704-2108",
            "fax_number": "805-200-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544801",
            "telephone_number": "805-704-2108",
            "fax_number": "805-200-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST NURSING HOME PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "OTHMAN",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "626-800-7617",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NextGen Concierge Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Coast Headway
• Central Coast in-Patient Consultants, Inc.
• Central Coast Kidney Disease Center Inc.
• Central Coast Medical Oncology Corp
• Central Coast Medical Oncology Corp
• Central Coast Obstetrics and Gynecology
• Central Coast Orthopedic Medical Group
• Central Coast Otolaryngology
• Central Coast Otolaryngology
• Central Coast Portable Imaging Inc

• Internal Medicine Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.