Central Coast MD Medical Supplies and Uniforms

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTRAL COAST MD MEDICAL SUPPLIES AND UNIFORMS

Practice address

901 Sunset Dr Ste 4
Hollister, CA 95023-5613

Phone

(831) 588-7767

NPI assigned

Sep 12, 2023

Last updated

Sep 15, 2023By 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

Christine Cumming

Title

Administration Manager

Phone

(831) 588-7767

Specialties & licenses 3

Addresses

Other names 1

• Central Coast MD Medical Supplies and Uniforms Other name

Locations

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1326825308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 41ST AVE STE 102-259",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102513",
            "telephone_number": "831-588-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNSET DR STE 4",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235613",
            "telephone_number": "831-588-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST MD MEDICAL SUPPLIES AND UNIFORMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "CUMMING",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATION MANAGER",
        "authorized_official_telephone_number": "831-588-7767"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Coast MD Medical Supplies and Uniforms",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Central Coast Head & Neck Surgeons a M C Inc
• Lorena Cervantes, OTR/L
• Chamberlain's Youth Services
• Engson Chang, PHARMACIST
• Sylvia Maria Chavarria
• Olga Chavez

• Durable Medical Equipment & Medical Supplies in Hollister, CA
• Providers in Hollister, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.