Central Coast Allergy & Asthma, a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G72539 Issued in CA

Legal business name

CENTRAL COAST ALLERGY & ASTHMA, A MEDICAL CORPORATION

Practice address

930B Sunset Dr BLDG 2
Hollister, CA 95023-5603

Phone

(831) 637-1689

Fax

(831) 637-1680

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Steven Sherman Prager, M.D.

Title

Presiden

Phone

(831) 637-1689

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hollister Allergy Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Coast Allergy and Asthma

  • Specialist
  • Salinas, CA
  • NPI 1619037975

  O20050523001153

  Same enrollment
• Central Coast Allergy and Asthma, a Medical Corporartion

  • Specialist
  • Monterey, CA
  • NPI 1104025287

  O20050523001153

  Same enrollment
• Salinas Allergy Clinic

  • Specialist
  • Salinas, CA
  • NPI 1588830327

  O20050523001153

  Same enrollment

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1255465712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E SAN JOAQUIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012903",
            "telephone_number": "831-637-1689",
            "fax_number": "831-637-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930B SUNSET DR BLDG 2",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235603",
            "telephone_number": "831-637-1689",
            "fax_number": "831-637-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST ALLERGY & ASTHMA, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "PRAGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "831-637-1689",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G72539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollister Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Leonard Ceglia, PT
• Kristen Nicole Ceglia, DPT, PT
• Imelda Ceja
• Santina Ceja
• Rachel Joy Centeno
• Central Coast Head & Neck Surgeons a M C Inc
• Central Coast MD Medical Supplies and Uniforms
• Lorena Cervantes, OTR/L
• Chamberlain'S Youth Services
• Engson Chang, PHARMACIST

• Specialist in Hollister, CA
• Providers in Hollister, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.