NPIMap

Organization Active NPI

Coastal Pacific Anesthesia

  • Certified Registered Nurse Anesthetist
  • Santa Maria, CA
National Provider Identifier
1659159705
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
COASTAL PACIFIC ANESTHESIA
Practice address
816 E Enos Dr Ste B
Santa Maria, CA 93454-8205
Phone
(775) 747-5050
NPI assigned
Sep 20, 2023
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Romel Castro, DNAP, CRNANPI 1972040756
Title
Manager
Phone
(775) 747-5050

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary
Anesthesiology Physician 207L00000X NU

Addresses

Primary practice location

816 E Enos Dr Ste B
Santa Maria, CA 93454-8205

Mailing address

2950 Broad St Unit 1121
San Luis Obispo, CA 93401-6702
Phone (775) 747-5050

Other names 1

  • California Coast Children's Dental Surgery Center Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223002403 CA Part B Supplier - Clinic/Group Practice 0648615146 Receives reassigned benefits from 10 practitioners
Practice locations: San Luis Obispo, CA; Santa Maria, CA

National Provider Directory

National Provider Directory

Locations

1300 E Cypress St
Ste E1
Santa Maria, CA 93454
Phone (805) 361-5088

426 Barcellus Ave
Ste 101
Santa Maria, CA 93454
Phone (805) 925-8767

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1659159705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 BROAD ST UNIT 1121",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016702",
            "telephone_number": "775-747-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E ENOS DR STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548205",
            "telephone_number": "775-747-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PACIFIC ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ROMEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-747-5050",
        "authorized_official_credential": "DNAP, CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Coast Children's Dental Surgery Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "California Coast Children's Dental Surgery Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.