Coast Pain and Spine Institute

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

COAST PAIN AND SPINE INSTITUTE

Practice address

1800 E Grand Ave Ste L2
Grover Beach, CA 93433-5222

Phone

(805) 710-9465

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By 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

Carlos UntalNPI 1316923998

Title

Partner

Phone

(310) 792-3914

Specialties & licenses 3

Addresses

Locations

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.

• Carlos Untal, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • San Luis Obispo, CA
  • NPI 1316923998
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1598528598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E GRAND AVE STE L2",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934335222",
            "telephone_number": "805-710-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST PAIN AND SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "UNTAL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-792-3914"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Coast Non-Emergency Medical Transportation LLC
• Leticia Cervantes-Morales
• Gary James Chambers Jr., ATP, RTS
• James Chongwon Choe
• Co. of San Luis Obispo (san luis obispo county drug and alcohol service)
• Coastal Living Home Health LLC
• Michael Scott Colbert
• Community Health Centers of the Central Coast Inc
• Compass at Home-a Healthy Living Network Company, LLC (Mission Home Health of Central Coast)
• Compass Health Inc (Compass Health NEMT)

• Pain Medicine (Anesthesiology) Physician in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.