NPIMap

Organization Active NPI

Coast Family Practice

Doing business as Andrew J. Henning

  • General Practice Physician
  • Santa Maria, CA
National Provider Identifier
1811940935
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COAST FAMILY PRACTICE
Doing business as
Andrew J. Henning
Practice address
201 S Miller St
Suite 103
Santa Maria, CA 93454-5248
Phone
(805) 928-3636
Fax
(805) 928-3608
NPI assigned
May 18, 2006
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

201 S Miller St
Suite 103
Santa Maria, CA 93454-5248

Mailing address

201 S Miller St
Suite 103
Santa Maria, CA 93454-5233
Phone (805) 928-3636

Other names 1

  • Andrew J. Henning Doing business as

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1811940935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MILLER ST",
            "address_2": "SUITE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545233",
            "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": "201 S MILLER ST",
            "address_2": "SUITE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545248",
            "telephone_number": "805-928-3636",
            "fax_number": "805-928-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-08-28",
        "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": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew J. Henning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2012; 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.