Central Coast Neurological Surgery PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

C130112 Issued in CA

Legal business name

CENTRAL COAST NEUROLOGICAL SURGERY PC

Practice address

1531 Higuera St
San Luis Obispo, CA 93401-2917

Phone

(805) 704-0889

Fax

(805) 548-1994

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David John Yeh, MDNPI 1720044415

Title

Physician, Ceo

Phone

(805) 704-0889

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• San Luis Obispo Surgery Center a California Limited Partnership

  • Ambulatory Surgical Clinic/Center
  • San Luis Obispo, CA
  • NPI 1073578126

  Member Of

  NPD member

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9312/brand/1/csg/1/fhir/r4

Practitioners 5

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

• David J Yeh, MMD

  • Neurological Surgery Physician
  • San Luis Obispo, CA
  • NPI 1720044415
  Medicare reassignment Care Compare group NPD Authorized official
• Shawn G Dunn, MD

  • Interventional Pain Medicine Physician
  • Tyler, TX
  • NPI 1407845563

  CA

  Medicare reassignment Care Compare group NPD
• Justin Keadle, PA-C

  • Surgical Physician Assistant
  • San Luis Obispo, CA
  • NPI 1801210026
  Medicare reassignment Care Compare group
• Duong Tran, N.P.

  • Gerontology Nurse Practitioner
  • Templeton, CA
  • NPI 1164878773
  Medicare reassignment
• Judith Miller

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1124573050
  NPD (past)

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1750799086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012917",
            "telephone_number": "805-704-0889",
            "fax_number": "805-548-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012917",
            "telephone_number": "805-704-0889",
            "fax_number": "805-548-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST NEUROLOGICAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN, CEO",
        "authorized_official_telephone_number": "805-704-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C130112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05780015",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Coast Imaging, P.C.-Raytel Medical Imaging
• Central Coast Institute for Plastic Surgery, AMC
• Central Coast Lymphedema
• Central Coast Lymphedema Therapy
• Central Coast Maternal-Fetal Medicine
• Central Coast Neurology Medical Group, Inc
• Central Coast Nursing Home Physicians, Inc. (NextGen Concierge Medicine)
• Central Coast Obstetrics & Gynecology, Inc.
• Central Coast Obstetrics & Gynecology, Inc.
• Central Coast Obstetrics and Gynecology, Inc., a Medical Group

• Neurological Surgery Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.