Central Coast Institute for Plastic Surgery, AMC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A50869 Issued in CA

Legal business name

CENTRAL COAST INSTITUTE FOR PLASTIC SURGERY, AMC

Practice address

1531 Higuera St
San Luis Obispo, CA 93401-2917

Phone

(805) 544-6000

Fax

(805) 544-5460

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary R Donath, MD

Title

President

Phone

(805) 544-6000

Specialties & licenses 1

Addresses

Other names 1

• Gary R Donath MD Inc Former legal business name

Locations

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1053589077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012917",
            "telephone_number": "805-544-6000",
            "fax_number": "805-544-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012917",
            "telephone_number": "805-544-6000",
            "fax_number": "805-544-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST INSTITUTE FOR PLASTIC SURGERY, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DONATH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-544-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A50869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary R Donath MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Central Coast Eye, Inc., a Professional Medical Corporation
• Central Coast Home Health Inc
• Central Coast Home Health Inc
• Central Coast Home Health, Inc.
• Central Coast Imaging, P.C.-Raytel Medical Imaging
• Central Coast Lymphedema
• Central Coast Lymphedema Therapy
• Central Coast Maternal-Fetal Medicine
• Central Coast Neurological Surgery PC
• Central Coast Neurology Medical Group, Inc

• Ambulatory Surgical Clinic/Center in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.