Active NPI
Central Coast Medical Oncology Corp
- Radiation Oncology Physician
- Santa Maria, CA
National Provider Identifier
1447516711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G71886
- Legal business name
- CENTRAL COAST MEDICAL ONCOLOGY CORP
- Practice address
- 1325 E Church St Ste 101
Santa Maria, CA 93454-5915 - Phone
- (805) 925-2529
- Fax
- (805) 496-2861
- NPI assigned
- Apr 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Dichmann, MD
- Title
- Medical Director
- Phone
- (805) 349-9393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | A54341 | CA | |
| Radiation Oncology Physician | 2085R0001X | G71886 | CA | Primary |
Addresses
Primary practice location
1325 E Church St Ste 101
Santa Maria, CA 93454-5915
Mailing address
1325 E Church St Ste 101
Santa Maria, CA 93454-5915
Phone (805) 925-2529
National Provider Directory
National Provider DirectoryLocations
1325 E Church St
Ste 101
Santa Maria, CA 93454
Phone (805) 648-5191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Santa Maria, CA
- NPI 1245232578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334102400000",
"number": "1447516711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 E CHURCH ST STE 101",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545915",
"telephone_number": "805-925-2529",
"fax_number": "805-496-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 E CHURCH ST STE 101",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545915",
"telephone_number": "805-925-2529",
"fax_number": "805-496-2861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL COAST MEDICAL ONCOLOGY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A",
"authorized_official_last_name": "DICHMANN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "805-349-9393",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A54341",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G71886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
- Central Coast Family Care Medical Associates, Inc. (Central Coast Family Care 6)
- Central Coast Headway
- Central Coast Headway
- Central Coast in-Patient Consultants, Inc.
- Central Coast Kidney Disease Center Inc.
- Central Coast Medical Oncology Corp
- Central Coast Nursing Home Physicians, Inc. (NextGen Concierge Medicine)
- Central Coast Obstetrics and Gynecology
- Central Coast Orthopedic Medical Group
- Central Coast Otolaryngology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.