Central Coast Ear Nose and Throat Associates

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G42368 Issued in CA

Legal business name

CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES

Practice address

1035 Peach St
Suite 301
San Luis Obispo, CA 93401-2700

Phone

(805) 545-5665

Fax

(805) 544-6477

NPI assigned

Sep 22, 2006

Last updated

Nov 28, 2007By 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

Dr. William J. Watson, M.D.NPI 1023007507

Title

Owner

Phone

(805) 545-5665

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• William J. Watson, M.D.

  • Otolaryngology Physician
  • San Luis Obispo, CA
  • NPI 1023007507
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1558461418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13211",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934063211",
            "telephone_number": "805-545-5665",
            "fax_number": "805-544-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PEACH ST",
            "address_2": "SUITE 301",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012700",
            "telephone_number": "805-545-5665",
            "fax_number": "805-544-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST EAR NOSE AND THROAT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-545-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G42368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4306521",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ25994Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROO46750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gayle S Cekada, M.D
• Susan Celli
• Carrie Cembellin
• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Central Coast Chest Consultants a Medical Corporation (Central Coast Chest Consultants Medical Corporation)
• Central Coast Employee Assistance & Counseling Services
• Central Coast Eye Associates Inc
• Central Coast Eye Surgery Inc a Professional Medical Corporation
• Central Coast Eye, Inc., a Professional Medical Corporation (Central Coast Eye)
• Central Coast Home Health Inc (Pharma101)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.