NPIMap

Organization Active NPI

Coast Family Practice

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1750558219
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COAST FAMILY PRACTICE
Practice address
607 E Plaza Dr Ste C-201
Santa Maria, CA 93454-6944
Phone
(805) 928-3636
Fax
(805) 928-3608
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Andrew J Henning, MD
Title
Owner/Physician
Phone
(805) 928-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

607 E Plaza Dr Ste C-201
Santa Maria, CA 93454-6944

Mailing address

607 E Plaza Dr Ste C-201
Santa Maria, CA 93454-6944
Phone (805) 928-3636

National Provider Directory

National Provider Directory
Tax ID family
Andrew J Henning3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1750558219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E PLAZA DR STE C-201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546944",
            "telephone_number": "805-928-3636",
            "fax_number": "805-928-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E PLAZA DR STE C-201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546944",
            "telephone_number": "805-928-3636",
            "fax_number": "805-928-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "HENNING",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "805-928-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 14, 2008; 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.