Central Coast Gastroenterology Medical Group

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP

Practice address

1255 Las Tablas Rd
201
Templeton, CA 93465-9750

Phone

(805) 226-4106

Fax

(805) 226-4091

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vance D Rodgers, MD

Title

Partner

Phone

(805) 786-4563

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Daniel C Zovich MD Inc

  • Gastroenterology Physician
  • San Luis Obispo, CA
  • NPI 1295834091

  Member Of

  NPD member
• Paul D. Wetzel, M.D. Inc

  • Gastroenterology Physician
  • San Luis Obispo, CA
  • NPI 1609975325

  Member Of

  NPD member

Locations

Practitioners 2

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

• Gary L Cushing, M.D.

  • Gastroenterology Physician
  • San Luis Obispo, CA
  • NPI 1962483545

  Gastroenterology

  NPD
• Phillip M Colbert, M.D.

  • Specialist
  • San Luis Obispo, CA
  • NPI 1245211952
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1922145481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 LAS TABLAS ROAD",
            "address_2": "SUITE 201",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659750",
            "telephone_number": "805-540-5350",
            "fax_number": "805-226-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 LAS TABLAS RD",
            "address_2": "201",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659750",
            "telephone_number": "805-226-4106",
            "fax_number": "805-226-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-786-4563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Coast Direct Medical Care PC
• Central Coast DPM, Inc
• Central Coast Emergency Physicians
• Central Coast Facial Surgery Center
• Central Coast Foot & Ankle Specialists
• Central Coast Obstetrics & Gynecology, Inc.
• Central Coast Pediatrics Inc
• Central Coast Radiology Medical Group Inc
• Central Coast Vision and Learning
• Cep America - Intensivists PC

• All providers in Templeton, CA
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.