Central Coast Spine and Pain Management Center, Inc.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

2709131 Issued in CA

Legal business name

CENTRAL COAST SPINE AND PAIN MANAGEMENT CENTER, INC.

Practice address

310 S Halcyon Rd
Suite 106
Arroyo Grande, CA 93420-3872

Phone

(805) 473-3705

Fax

(805) 473-4832

NPI assigned

Oct 21, 2005

Last updated

Mar 4, 2008By 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. Andrew G. Monroy, M.D.NPI 1518957539

Title

Director

Phone

(805) 473-3705

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew G. Monroy, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Arroyo Grande, CA
  • NPI 1518957539
  NPD (past) Authorized official

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1235129255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934210160",
            "telephone_number": "805-473-3705",
            "fax_number": "805-473-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD",
            "address_2": "SUITE 106",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203872",
            "telephone_number": "805-473-3705",
            "fax_number": "805-473-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST SPINE AND PAIN MANAGEMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "MONROY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-473-3705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "2709131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP PIN",
            "identifier": "ZZZ64728Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "ZZZ64728Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Coast Behavioral Health, Inc.
• Central Coast in Home Care Services LLC
• Central Coast Psychological Services Corporation
• Central Coast Retina Inc
• Central Coast Speech Pathology and Orofacial Myology
• Cep America - Anesthesia PC
• Cep America - California (Vituity)
• Eric Siu Ping Chan, M.D.
• G Chan, PHARMD
• Janel A Chavez, LCSW

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.