Active NPI
Central Coast Head & Neck Surgeons a M C Inc
- Otolaryngology Physician
- Hollister, CA
National Provider Identifier
1972766491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- CENTRAL COAST HEAD & NECK SURGEONS A M C INC
- Practice address
- 930 Sunnyslope Rd
Ste a-4
Hollister, CA 95023-5615 - Phone
- (831) 637-0760
- NPI assigned
- Jul 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth C. Nowak, M.D.
- Title
- President
- Phone
- (831) 422-8798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
930 Sunnyslope Rd
Ste a-4
Hollister, CA 95023-5615
Mailing address
1095 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 775-0205
National Provider Directory
National Provider Directory- Tax ID family
- Central Coast Head Neck Surgeons a M C Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Monterey, CA
- NPI 1023271228
-
- Otolaryngology Physician
- Salinas, CA
- NPI 1255405460
-
- Otolaryngology Physician
- Monterey, CA
- NPI 1568659019
Locations
930 Sunnyslope Rd
Ste A4
Hollister, CA 95023
Phone (831) 630-5754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1972766491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 LOS PALOS DR",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013916",
"telephone_number": "831-775-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 SUNNYSLOPE RD",
"address_2": "STE A-4",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235615",
"telephone_number": "831-637-0760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL COAST HEAD & NECK SURGEONS A M C INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-03",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "NOWAK",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "831-422-8798",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.