Central Coast Cardiology a Medical Corporation

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATION

Practice address

5 Lower Ragsdale Dr
#102
Monterey, CA 93940-5817

Phone

(831) 649-3375

Fax

(831) 233-5182

NPI assigned

Jul 14, 2005

Organization subpart

Yes

Parent organization

CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Timothy S. Albert, MD

Title

President

Phone

(831) 758-2100

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Central Coast Cardiology Other name

Part of

Central Coast Cardiology a Medical Corporation

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Coast Cardiology a Medical Corporation

  • Interventional Cardiology Physician
  • Salinas, CA
  • NPI 1134127541
  NPPES parent name

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1407855265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013901",
            "telephone_number": "831-758-2100",
            "fax_number": "831-758-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LOWER RAGSDALE DR",
            "address_2": "#102",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405817",
            "telephone_number": "831-649-3375",
            "fax_number": "831-233-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATION",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-758-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0059321",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FOR MONTEREY CD",
            "identifier": "ZZZ55762Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Coast Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cristina Cazares
• Tina Cazares
• Lani May Aquino Centeno, OD
• Central Coast Allergy and Asthma, a Medical Corporartion (Monterey Allergy Clinic)
• Central Coast Audiology Incorporated (Oregon Audiology of Portland)
• Central Coast Community Health Care, Inc.
• Central Coast Dermatology, Inc.
• Central Coast Head & Neck Surdeons a M C Inc
• Central Coast Head & Neck Surgeons a M C Inc
• Central Coast Language and Learning Center

• Interventional Cardiology Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.