Coast Urology Services Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COAST UROLOGY SERVICES INC.

Practice address

35 Casa St
Suite 370
San Luis Obispo, CA 93405-1818

Phone

(586) 498-9440

Fax

(586) 498-9460

NPI assigned

Sep 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Clayton, MD

Title

President

Phone

(805) 786-2500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1891044053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 SUELDO ST",
            "address_2": "SUITE #110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017386",
            "telephone_number": "586-498-9440",
            "fax_number": "586-498-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CASA ST",
            "address_2": "SUITE 370",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051818",
            "telephone_number": "586-498-9440",
            "fax_number": "586-498-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST UROLOGY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-786-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.