Organization Active NPI

Central Coast Multispecialty Medical Group, Inc.

Doing business as Fertility & Gynecology Center

  • Specialist
  • Monterey, CA
National Provider Identifier
1639263296
Registry record updated Nov 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A45791 Issued in CA
Legal business name
CENTRAL COAST MULTISPECIALTY MEDICAL GROUP, INC.
Doing business as
Fertility & Gynecology Center
Practice address
9833 Blue Larkspur LN
Monterey, CA 93940-6535
Phone
(831) 649-4483
Fax
(831) 649-9010
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2009

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

Authorized official

Name
Dr. Edward J Ramirez, M.D.NPI 1114038395
Title
Ceo/Medical Director
Phone
(831) 649-4483

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A45791 CA Primary

Addresses

Primary practice location

9833 Blue Larkspur LN
Monterey, CA 93940-6535

Mailing address

9833 Blue Larkspur LN
Monterey, CA 93940-6535
Phone (831) 649-4483

Other identifiers 1

IdentifierTypeStateIssuer
GR0074030MedicaidCA

Other names 1

  • FERTILITY & GYNECOLOGY CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

9833 Blue Larkspur Ln
Monterey, CA 93940
Phone (831) 649-4483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258761600000",
    "number": "1639263296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9833 BLUE LARKSPUR LN",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406535",
            "telephone_number": "831-649-4483",
            "fax_number": "831-649-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9833 BLUE LARKSPUR LN",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406535",
            "telephone_number": "831-649-4483",
            "fax_number": "831-649-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST MULTISPECIALTY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-11-21",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "831-649-4483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0074030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FERTILITY & GYNECOLOGY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 2009; 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.