Central Coast Direct Medical Care PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRAL COAST DIRECT MEDICAL CARE PC

Practice address

1360 New Wine PL
Templeton, CA 93465-4006

Phone

(805) 988-4400

NPI assigned

Oct 11, 2024

Last updated

May 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Pennington

Title

Office Manager

Phone

(805) 988-4400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reanna Lynn Clayton, MSN, FNP-C

  • Primary Care Nurse Practitioner
  • Templeton, CA
  • NPI 1356924799
  Medicare reassignment Care Compare group NPD
• Edward Paul Jardini, M.D.

  • Family Medicine Physician
  • Templeton, CA
  • NPI 1275517302
  Medicare reassignment Care Compare group NPD
• Megan Elizabeth Macha, NP

  • Family Nurse Practitioner
  • Templeton, CA
  • NPI 1730049099
  Medicare reassignment Care Compare group NPD
• Francis Dante Antigua, NP

  • Adult Health Nurse Practitioner
  • Santa Maria, CA
  • NPI 1346777695
  Medicare reassignment NPD

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1821818295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1958",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934651958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 NEW WINE PL",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654006",
            "telephone_number": "805-988-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST DIRECT MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-988-4400"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander F Castellanos, MD
• Miriam Castillo
• Maria Guadalupe Celedon
• Central Coast Associated Physicians, Inc.
• Central Coast Clinical Laboratory, Inc
• Central Coast DPM, Inc (North County Podiatry)
• Central Coast Emergency Physicians
• Central Coast Facial Surgery Center
• Central Coast Foot & Ankle Specialists
• Central Coast Gastroenterology Medical Group

• Primary Care Clinic/Center in Templeton, CA
• Providers in Templeton, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.