Central Coast Imaging, P.C.-raytel Medical Imaging
Clinic/Center (Radiology)

Address: 21 Santa Rosa St, Suite 250, San Luis Obispo, CA 93405-1898
Phone: 8003671095

Central Coast Imaging, P.C.-raytel Medical Imaging (NPI# 1093843377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1093843377
Entity Type Organization
Organization Name CENTRAL COAST IMAGING, P.C.-RAYTEL MEDICAL IMAGING
Practice Address 21 Santa Rosa St
Suite 250
San Luis Obispo
CA 93405-1898
Practice Telephone 8003671095
Practice Fax Number 8602986127
Mailing Address Po Box 548
Windsor
CT 06095-0548
Mailing Telephone 8003671095
Mailing Fax Number 8602986127
Authorized Official Name Mr. Jeffrey M Flanegin (PRESIDENT)
Authorized Official Telephone 6108311112
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2007-03-01
Last Update Date 2007-08-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QR0200X Clinic/Center · Radiology Ambulatory Health Care Facilities CA

Other Provider Identifier

State Identifier Issuer Type Code
CA GR0089800 MEDICAID

Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1881661361 Radiology Associates of San Luis Obispo Clinic/Center 1064 Murray Ave, San Luis Obispo, CA 93405 2006-03-03
1427183508 Radiology Associates of San Luis Obispo Clinic/Center 1010 Murray Ave, San Luis Obispo, CA 93405-8800 2007-02-22
1336274414 Radiology Associates of San Luis Obispo Clinic/Center 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 2007-02-22

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Office Location

Street Address 21 SANTA ROSA ST
SUITE 250
City SAN LUIS OBISPO
State CA
Zip Code 93405-1898

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053461640 Alex John Steinleitner Obstetrics & Gynecology 21 Santa Rosa St, Suite 200, San Luis Obispo, CA 93405-5813 2007-01-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164076626 Hilary Abbott Anderson Physician Assistant 127 Casa St., San Luis Obispo, CA 93405 2019-08-01
1811465834 Fatemeh Ladan Ahmadinia Dentist 764 N Santa Rosa St, San Luis Obispo, CA 93405 2018-11-07
1538559794 Arnold Martin Horwitz Marriage & Family Therapist 1605 Garnette Drive, San Luis Obispo, CA 93405 2015-01-27
1750794764 Solmaz Naghsh Pharmacist 765 Foothill Blvd, San Luis Obispo, CA 93405 2014-06-06
1609293471 Robert S. Flores Dmd, Inc Dentist 878 Boysen Avenue, San Luis Obispo, CA 93405 2014-03-18
1457776445 Laura Anne Wilvert Marriage & Family Therapist 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 2014-02-27
1497181200 Tracey Ruby Madrigal Counselor 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 2013-09-25
1437597572 Sarah Michelle Brenis Counselor 524 Princeton Place, San Luis Obispo, CA 93405 2013-06-11
1013350974 Jenna Rose Ramos Counselor 1459 Descanso St., San Luis Obispo, CA 93405 2013-04-10
1700140696 Christopher Dieterich Marchand Social Worker 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 2012-06-26
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Competitor

Search similar providers

City SAN LUIS OBISPO
Zip Code 93405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.