Central Coast Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A87187 Issued in CA

Legal business name

CENTRAL COAST INTERNAL MEDICINE PC

Doing business as

Central Coast Premiere Health

Practice address

920 W Hollow Dr
Paso Robles, CA 93446

Phone

(805) 703-0024

Fax

(888) 275-1229

NPI assigned

Apr 30, 2008

Last updated

Apr 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Daniel Ortiz, MD

Title

President Ceo

Phone

(805) 703-0024

Specialties & licenses 1

Addresses

Other names 1

• Central Coast Premiere Health Doing business as

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1104092188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13668 LAKESHORE DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179443",
            "telephone_number": "805-703-0024",
            "fax_number": "888-275-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W HOLLOW DR",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-703-0024",
            "fax_number": "888-275-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "805-703-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A87187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Coast Premiere Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minerva S Carrasco, LVN
• E.J. Casper, D.D.S.
• Jessica Castillo, RN
• Center for Therapeutic Alliance
• Central Coast in-Home Senior Care LLC (Seniors Helping Seniors)
• Central Coast Physical Therapy, Inc
• Central Coast Physical Therapy, Inc.
• Central Coast Therapy
• Charles Cox DDS, Inc
• Charles J Moran MD Inc (Paso Robles Urgent Care)

• Internal Medicine Physician in Paso Robles, CA
• Providers in Paso Robles, 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 Apr 20, 2009; 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.