Central Coast Imaging, P.C.-Raytel Medical Imaging

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CENTRAL COAST IMAGING, P.C.-RAYTEL MEDICAL IMAGING

Practice address

21 Santa Rosa St
Suite 250
San Luis Obispo, CA 93405-1898

Phone

(800) 367-1095

Fax

(860) 298-6127

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey M Flanegin

Title

President

Phone

(610) 831-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Central Coast Imaging P2 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 Imaging, P.C.

  • Radiology Clinic/Center
  • Windsor, CT
  • NPI 1942405428
  NPD tax ID

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1093843377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060950548",
            "telephone_number": "800-367-1095",
            "fax_number": "860-298-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SANTA ROSA ST",
            "address_2": "SUITE 250",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051898",
            "telephone_number": "800-367-1095",
            "fax_number": "860-298-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST IMAGING, P.C.-RAYTEL MEDICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "FLANEGIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-831-1112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Coast Eye Surgery, Inc., a Professional Medical Corporation
• 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 Institute for Plastic Surgery, AMC
• Central Coast Lymphedema
• Central Coast Lymphedema Therapy
• Central Coast Maternal-Fetal Medicine
• Central Coast Neurological Surgery PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.