Central Coast Gastroenterology Medical Group

LBN: Central Coast Gastroenterology Medical Group
Central Coast Gastroenterology Medical Group is an health care organization with primary practice located at 1255 Las Tablas Rd 201, Templeton CA 93465-9750. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Central Coast Gastroenterology Medical Group can be contacted via phone (805) 226-4106, or through Rodgers, Vance D via phone (805) 786-4563.

Contact Information

Primary practice address
1255 Las Tablas Rd 201 Templeton CA 93465-9750
Phone: (805) 226-4106
Fax: (805) 226-4091
Website:
Map and Directions
Authorized official contact:
Name: Rodgers, Vance D Doctor of Medicine (MD)
Phone: (805) 786-4563

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1922145481
LBN Legal business name Central Coast Gastroenterology Medical Group
DBA Doing business as
Authorized official Rodgers, Vance D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Feb 3rd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922145481 NPPES
California MEDICAID GR0098050

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