Organization Active NPI

Central Coast Total Wellness

  • Internal Medicine Physician
  • Monterey, CA
National Provider Identifier
1740612068
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C54041 Issued in CA
Legal business name
CENTRAL COAST TOTAL WELLNESS
Practice address
147 El Dorado St
Monterey, CA 93940-3127
Phone
(831) 643-9658
Fax
(831) 643-9668
NPI assigned
Aug 9, 2013
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Dr. Michele Elizabeth Horne, MD, MPH
Title
Medical Director
Phone
(831) 643-9658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C54041 CA Primary

Addresses

Primary practice location

147 El Dorado St
Monterey, CA 93940-3127

Mailing address

PO Box 574
Monterey, CA 93942-0574
Phone (831) 643-9658

National Provider Directory

National Provider Directory

Locations

147 El Dorado St
Monterey, CA 93940
Phone (408) 373-1813

337 El Dorado St
Ste B1
Monterey, CA 93940
Phone (831) 624-9577

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1740612068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939420574",
            "telephone_number": "831-643-9658",
            "fax_number": "831-643-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403127",
            "telephone_number": "831-643-9658",
            "fax_number": "831-643-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST TOTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "831-643-9658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C54041",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 9, 2013; 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.