Active NPI
Central Coast Portable Imaging Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Santa Maria, CA
National Provider Identifier
1760068399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- CENTRAL COAST PORTABLE IMAGING INC
- Practice address
- 3129 Frosty Way
Santa Maria, CA 93455-2181 - Phone
- (805) 598-8787
- NPI assigned
- Mar 23, 2021
- Last updated
- Apr 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Abeloe
- Title
- Owner
- Phone
- (805) 598-8787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | NU | Primary |
Addresses
Primary practice location
3129 Frosty Way
Santa Maria, CA 93455-2181
Mailing address
PO Box 5041
Santa Maria, CA 93456-5041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210430001541 | CA | Part B Supplier - Portable X-Ray Supplier | 0941619043 | Practice locations: Santa Maria, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1760068399. Details of each certification follow.
Portable X-ray supplier certification: CCN 05X0010066
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CENTRAL COAST PORTABLE IMAGING INC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Oct 12, 2021
- Last certification
- Oct 12, 2021
- Ownership / control type
- Corporation
- Facility address
- 3129 Frosty Way
Santa Maria, CA 93455
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617667200000",
"number": "1760068399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5041",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934565041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 FROSTY WAY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934552181",
"telephone_number": "805-598-8787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL COAST PORTABLE IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-23",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A",
"authorized_official_last_name": "ABELOE",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-598-8787"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
- Central Coast Nursing Home Physicians, Inc. (NextGen Concierge Medicine)
- Central Coast Obstetrics and Gynecology
- Central Coast Orthopedic Medical Group
- Central Coast Otolaryngology
- Central Coast Otolaryngology (Sleep Disorders Center of Santa Maria)
- Central Coast Treatment Centers
- Central Coast Trstment Center
- Central Coast Urgent Care Medical Group
- Cep America - California
- Cep America - Psychiatry PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.