Central Coast Obstetrics and Gynecology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CENTRAL COAST OBSTETRICS AND GYNECOLOGY

Practice address

220 S Palisade Dr
Ste 204
Santa Maria, CA 93454-8902

Phone

(805) 354-7101

Fax

(805) 354-7102

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Robert Thielscher, DDS, MBA

Title

Practice Administrator

Phone

(805) 786-4111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1598038242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CASA ST",
            "address_2": "STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051883",
            "telephone_number": "805-786-4111",
            "fax_number": "805-543-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR",
            "address_2": "STE 204",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548902",
            "telephone_number": "805-354-7101",
            "fax_number": "805-354-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "THIELSCHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "805-786-4111",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Coast in-Patient Consultants, Inc.
• Central Coast Kidney Disease Center Inc.
• Central Coast Medical Oncology Corp
• Central Coast Medical Oncology Corp
• Central Coast Nursing Home Physicians, Inc.
• Central Coast Orthopedic Medical Group
• Central Coast Otolaryngology
• Central Coast Otolaryngology
• Central Coast Portable Imaging Inc
• Central Coast Treatment Centers

• Obstetrics & Gynecology Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.