Advanced Women'S Health of the Central Coast

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A75356 Issued in CA

Legal business name

ADVANCED WOMEN'S HEALTH OF THE CENTRAL COAST

Practice address

1510 E Main St
Suite 104
Santa Maria, CA 93454-4825

Phone

(805) 739-3262

Fax

(805) 354-7013

NPI assigned

Jul 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Keith Oliver Dillon, MD

Title

President

Phone

(805) 739-3262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309737600000",
    "number": "1992092530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST",
            "address_2": "SUITE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544825",
            "telephone_number": "805-739-3262",
            "fax_number": "805-354-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E MAIN ST",
            "address_2": "SUITE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544825",
            "telephone_number": "805-739-3262",
            "fax_number": "805-354-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOMEN'S HEALTH OF THE CENTRAL COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-04",
        "last_updated": "2011-07-04",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-739-3262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A75356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.