Central Coast Obstetrics & Gynecology, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.

Practice address

350 Posada Lane
Suite 202
Templeton, CA 93405-1890

Phone

(805) 434-5497

Fax

(805) 434-0917

NPI assigned

Apr 16, 2008

Last updated

Jun 24, 2010By 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

Mr. Danny Leroy Lickness, MD

Title

President

Phone

(805) 544-8811

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1285808733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CASA STREET",
            "address_2": "SUITE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934654060",
            "telephone_number": "805-548-0775",
            "fax_number": "805-548-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POSADA LANE",
            "address_2": "SUITE 202",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934051890",
            "telephone_number": "805-434-5497",
            "fax_number": "805-434-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "LICKNESS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-544-8811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Coast DPM, Inc (North County Podiatry)
• Central Coast Emergency Physicians
• Central Coast Facial Surgery Center
• Central Coast Foot & Ankle Specialists
• Central Coast Gastroenterology Medical Group
• Central Coast Pediatrics Inc
• Central Coast Radiology Medical Group Inc
• Central Coast Vision and Learning
• Cep America - Intensivists PC
• Cory Ronald Chaker, PERSONAL TRAINER

• Obstetrics & Gynecology Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.