Central Coast Orthopedic Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CENTRAL COAST ORTHOPEDIC MEDICAL GROUP

Practice address

921 Oak Park Blvd Ste 204
Pismo Beach, CA 93449-3400

Phone

(805) 473-4949

Fax

(805) 473-1802

NPI assigned

Aug 21, 2026

Organization subpart

No

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

Authorized official

Name

Monica Lopez

Title

Practice Manager

Phone

(805) 541-4600

Specialties & licenses 1

Addresses

Tax ID family

Central Coast Orthopedic Medical Group2 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 Orthopedic Medical Group

  • Orthopaedic Surgery Physician
  • Santa Maria, CA
  • NPI 1598671166
  NPD tax ID

Locations

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1124934856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 MEINECKE AVE STE 100",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934053701",
            "telephone_number": "805-541-4600",
            "fax_number": "805-541-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD STE 204",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493400",
            "telephone_number": "805-473-4949",
            "fax_number": "805-473-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST ORTHOPEDIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "805-541-4600"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Allen Canclini, MA
• David Alan Canvasser, M.D.
• Jessica Cardenas Cordova, BA
• Lily Carr, LCSW
• Central Coast Cardiothoracic Surgical Associates-a Medical Group
• CF Imaging and Supplies, LLC
• Kathleen Chak
• Amanthi Chandrasena, M.D.
• Kenna Chapin
• Janet Chen, M.D,

• Orthopaedic Surgery Physician in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.