NPIMap

Organization Active NPI

Central Coast Head & Neck Surgeons a M C Inc

  • Otolaryngology Physician
  • Monterey, CA
National Provider Identifier
1568659019
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CENTRAL COAST HEAD & NECK SURGEONS A M C INC
Practice address
966 Cass St
Ste 250
Monterey, CA 93940-4539
Phone
(831) 649-4000
NPI assigned
Sep 28, 2007
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Dr. Kenneth C. Nowak, M.D.NPI 1639243843
Title
President
Phone
(831) 422-8798

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

966 Cass St
Ste 250
Monterey, CA 93940-4539

Mailing address

1095 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 775-0205

Other identifiers 2

IdentifierTypeStateIssuer
CN7995OtherRALILROAD MEDICARE
GR0066351MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Central Coast Head Neck Surgeons a M C Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1568659019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 LOS PALOS DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013916",
            "telephone_number": "831-775-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 CASS ST",
            "address_2": "STE 250",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404539",
            "telephone_number": "831-649-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST HEAD & NECK SURGEONS A M C INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-422-8798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RALILROAD MEDICARE",
            "identifier": "CN7995",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.