Central Coast Veterans Associates LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTRAL COAST VETERANS ASSOCIATES LLC

Practice address

1890 Diablo Drive
San Luis Obispo, CA 93405-4762

Phone

(805) 459-2585

Fax

(805) 781-0525

NPI assigned

Mar 24, 2020

Last updated

Mar 25, 2020By 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

Brian Michael Rees, MDNPI 1962558205

Title

Managing Member

Phone

(805) 459-2585

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Brian Michael Rees, MD

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1962558205
  NPD (past) Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1528695319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 DIABLO DRIVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934054762",
            "telephone_number": "805-459-2585",
            "fax_number": "805-781-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 DIABLO DRIVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934054762",
            "telephone_number": "805-459-2585",
            "fax_number": "805-781-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST VETERANS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "805-459-2585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Coast Pediatrics Inc
• Central Coast Psychotherapy Services, Inc.
• Central Coast Regenerative Medicine Inc
• Central Coast Renal Care Inc
• Central Coast Rheumatology Medical Corp
• Central Rehabilitation Clinic Inc
• Cep America - California (Vituity)
• Elpidio Cepeda, L.P.T.
• Caroline Cerussi, AMFT
• Karina I Cervantes, PA-C

• Community/Behavioral Health Agency in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.