California Central Coast Ivf Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CALIFORNIA CENTRAL COAST IVF LABORATORY

Doing business as

California Central Coast IVF Laboratory

Practice address

35 Casa St Ste 260
San Luis Obispo, CA 93405-1890

Phone

(805) 440-7529

Fax

(805) 466-4229

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Barbara J. Cerny-Ryan

Title

Office Manager

Phone

(805) 440-7529

Specialties & licenses 1

Addresses

Other names 1

• California Central Coast IVF Laboratory Doing business as

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1043703622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 260",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051890",
            "telephone_number": "805-440-7529",
            "fax_number": "805-466-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 260",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051890",
            "telephone_number": "805-440-7529",
            "fax_number": "805-466-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CENTRAL COAST IVF LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CERNY-RYAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-440-7529"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Central Coast IVF Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Caldeira, MFTI
• Guillemette Calderwood
• Kimberly Caldwell
• Nichol Caldwell
• Nicole E Caldwell
• California Department of Corrections and Rehabilitation
• California Dermatology Institute PC
• California Medical Surgery Center LLC
• California Men's Colony Hospital
• California Neurohealth

• Clinical Medical Laboratory in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.