Pacific Coast Physicians Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PACIFIC COAST PHYSICIANS MEDICAL GROUP

Practice address

689 Tank Farm Rd
Suite 220
San Luis Obispo, CA 93401-7077

Phone

(805) 541-1177

Fax

(805) 541-4236

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David O. Javitz, M.D.

Title

President

Phone

(805) 541-1177

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cu Q Nguyen, MD

  • Internal Medicine Physician
  • Pismo Beach, CA
  • NPI 1669534236
  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1962567362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 TANK FARM RD",
            "address_2": "SUITE 220",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017077",
            "telephone_number": "805-541-1177",
            "fax_number": "805-541-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 TANK FARM RD",
            "address_2": "SUITE 220",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017077",
            "telephone_number": "805-541-1177",
            "fax_number": "805-541-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "JAVITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-541-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Central Coast Health Centers
• Pacific Central Coast Health Centers
• Pacific Central Coast Health Centers
• Pacific Central Coast Health Centers
• Pacific Coast Audiology, Inc.
• Pacific Eye Surgeons, a California Professional Medical Corporation
• Pacific Medical, Inc.
• Pacific Pediatric Dentistry
• Pacific Point Laboratories, Inc.
• Pacific Psychiatry Inc.

• Internal Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.