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

Organization subpart

No

Name

Dr. Andrew G. Monroy, M.D.NPI 1518957539

Title

Director

Phone

(805) 473-3705

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

• Andrew G. Monroy, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Arroyo Grande, CA
  • NPI 1518957539

  Pain Medicine

  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2008.

{
    "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": "193400000X SINGLE SPECIALTY  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
• Eric Siu Ping Chan, M.D.
• G Chan, PHARMD
• Janel A Chavez, LCSW

• All providers in Arroyo Grande, CA
• 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.