Central Coast Rheumatology Medical Corp

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

CENTRAL COAST RHEUMATOLOGY MEDICAL CORP

Practice address

1655 Dalidio Dr Unit 3151
San Luis Obispo, CA 93403-7007

Phone

(805) 316-0698

NPI assigned

Dec 20, 2024

Organization subpart

No

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

Authorized official

Name

Nikita Patel, M.D.NPI 1932511904

Title

President

Phone

(805) 316-0698

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikita Mohan Patel, M.D.

  • Rheumatology Physician
  • San Luis Obispo, CA
  • NPI 1932511904
  NPD Authorized official
• Gregory Scott Canfield, M.D., PH.D.

  • Infectious Disease Physician
  • San Luis Obispo, CA
  • NPI 1144632159
  NPD

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1144038282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 DALIDIO DR UNIT 3151",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934037007",
            "telephone_number": "805-316-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 DALIDIO DR UNIT 3151",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934037007",
            "telephone_number": "805-316-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST RHEUMATOLOGY MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-316-0698",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Coast Pathology Consultants, Inc.
• Central Coast Pediatrics Inc
• Central Coast Psychotherapy Services, Inc.
• Central Coast Regenerative Medicine Inc
• Central Coast Renal Care Inc
• Central Coast Veterans Associates LLC
• Central Rehabilitation Clinic Inc
• Cep America - California
• Elpidio Cepeda, L.P.T.
• Caroline Cerussi, AMFT

• Rheumatology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.