NPIMap

Organization Active NPI

Costa Central Medical Group

  • Legal Medicine
  • Salinas, CA
National Provider Identifier
1871687301
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
A75654 Issued in CA
Legal business name
COSTA CENTRAL MEDICAL GROUP
Practice address
323 N Sanborn Rd Ste E
Salinas, CA 93905-2243
Phone
(831) 751-6200
Fax
(831) 751-6220
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Jose Mario Pauda, MEDICAL DOCTORNPI 1477511178
Title
Owner
Phone
(831) 444-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X A75654 CA Primary

Addresses

Primary practice location

323 N Sanborn Rd Ste E
Salinas, CA 93905-2243

Mailing address

323 N Sanborn Rd Ste E
Salinas, CA 93905-2243
Phone (831) 751-6200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1871687301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N SANBORN RD STE E",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052243",
            "telephone_number": "831-751-6200",
            "fax_number": "831-751-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N SANBORN RD STE E",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052243",
            "telephone_number": "831-751-6200",
            "fax_number": "831-751-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA CENTRAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "PAUDA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-444-6200",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A75654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.