Central Coast Kidney Disease Center Inc.

LBN: Central Coast Kidney Disease Center Inc.
Central Coast Kidney Disease Center Inc. is an health care organization with primary practice located at 2263 S. Depot Rd. , Santa Maria CA 93455. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Central Coast Kidney Disease Center Inc. can be contacted via phone (805) 349-8600, or through Babu, Muthiyaliah via phone (805) 349-0198.

Contact Information

Primary practice address
2263 S. Depot Rd. Santa Maria CA 93455
Phone: (805) 349-8600
Fax: (805) 928-5145
Website:
Map and Directions
Authorized official contact:
Name: Babu, Muthiyaliah Doctor of Medicine (MD)
Phone: (805) 349-0198

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1033141254
LBN Legal business name Central Coast Kidney Disease Center Inc.
DBA Doing business as
Authorized official Babu, Muthiyaliah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Dec 7th, 2011 - about 13 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 1033141254 NPPES
California MEDICAID CDC02871F

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