Central Coast Nursing Home Physicians, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL COAST NURSING HOME PHYSICIANS, INC.

Doing business as

NextGen Concierge Medicine

Practice address

1242 Monterey St Ste 102
San Luis Obispo, CA 93401-0807

Phone

(805) 465-7012

Fax

(855) 538-6276

NPI assigned

Nov 11, 2025

Last updated

May 14, 2026By 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

Ahmad Nooristani, MDNPI 1659537306

Title

Chief Financial Officer

Phone

(805) 821-1176

Specialties & licenses 1

Addresses

Other names 1

• NextGen Concierge Medicine Doing business as

Tax ID family

Central Coast Nursing Home Physicians Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Coast Nursing Home Physicians, Inc.

  dba NextGen Concierge Medicine

  • Internal Medicine Physician
  • Santa Maria, CA
  • NPI 1033070370
  NPD tax ID

Locations

Practitioners 2

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.

• Ahmad K Nooristani, M.D.

  • Internal Medicine Physician
  • Santa Maria, CA
  • NPI 1659537306
  NPD Authorized official
• Samer S. Othman, MD

  • Internal Medicine Physician
  • San Luis Obispo, CA
  • NPI 1437476439
  NPD

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1295605475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E GRAND AVE STE 103",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202421",
            "telephone_number": "805-474-5620",
            "fax_number": "855-538-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 MONTEREY ST STE 102",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934010807",
            "telephone_number": "805-465-7012",
            "fax_number": "855-538-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST NURSING HOME PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "NOORISTANI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "805-821-1176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NextGen Concierge Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Central Coast Outpatient Program

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.