Central Coast Pediatric Surgical Associates, Inc.

Organization Active NPI Pediatric Surgery Physician · Santa Barbara, CA

NPI 1780198523 · NPPES record last updated Nov 30, 2017

Key facts

NPI
1780198523
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Surgery Physician 2086S0120X
Legal business name
CENTRAL COAST PEDIATRIC SURGICAL ASSOCIATES, INC.
Practice address
400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone
(805) 879-4271
NPI assigned
Nov 30, 2017
Organization subpart
No

Authorized official

Name
Robert C Kanard, MD
Title
Owner
Phone
(224) 420-0879

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X
Pediatric Critical Care Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2080P0203X
Pediatric Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2086S0120X Yes

Addresses

Primary practice location

400 W Pueblo St
Santa Barbara, CA 93105-4353

Mailing address

PO Box 1359
San Clemente, CA 92674-1359
Phone (949) 492-3514

Other providers in Santa Barbara, CA

All providers in Santa Barbara, CA · Pediatric Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.