CENTRAL COAST PEDIATRIC SURGICAL ASSOCIATES, INC. (NPI# 1780198523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780198523 |
| Entity Type | Organization |
| Organization Name | CENTRAL COAST PEDIATRIC SURGICAL ASSOCIATES, INC. |
| Practice Address |
400 W Pueblo St Santa Barbara CA 93105-4353 |
| Mailing Address |
Po Box 1359 San Clemente CA 92674-1359 |
| Practice Telephone | 8058794271 |
| Mailing Telephone | 9494923514 |
| Mailing Fax Number | 9493662390 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | ROBERT C KANARD (OWNER) |
| Authorized Official Telephone | 2244200879 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
400 W PUEBLO ST |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-4353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073505715 | Santa Barbara Radiology Medical Group Inc | Radiology | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2005-08-18 |
| 1417556002 | Joseph Kim | Pharmacist | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2020-10-23 |
| 1154958924 | Aria Ashir | Student in an Organized Health Care Education/Training Program | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2020-03-23 |
| 1083244248 | Christine Noel Lyles | Physician Assistant | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2020-01-16 |
| 1588209357 | Cottage Clinical Network, LLC | General Practice | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2019-11-15 |
| 1720556145 | Beeta Mahdavi | Pharmacist | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-11-03 |
| 1962978502 | Alisha Atherly-brown | Physician Assistant | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-10-22 |
| 1710470703 | Mark D Wilson, Md Inc | Internal Medicine | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-06-13 |
| 1285130724 | Connor L Wiles | Student in an Organized Health Care Education/Training Program | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-04-03 |
| 1346744737 | Nedeljko Jakov Uncanin Jr. | Student in an Organized Health Care Education/Training Program | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073777934 | Robert Carr Kanard | Surgery | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2008-07-10 |
| 1417175423 | Pediatric Subspecialty Network Inc. | Surgery | 2403 Castillo St, Suite 202, Santa Barbara, CA 93105-5316 | 2007-04-23 |
| 1437242252 | Charles Jacob Stolar | Surgery | 2403 Castillo St, Suite 202, Santa Barbara, CA 93105-5316 | 2006-10-02 |
| 1831115054 | Tamir H Keshen | Surgery | 2403 Castillo St, 202, Santa Barbara, CA 93105-5316 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629560149 | Norcal Pediatric Surgical Partners | Surgery | 21c Orinda Way # 276, Orinda, CA 94563-2534 | 2018-05-31 |
| 1598137291 | Pasadena Pediatric Surgery, Inc. | Surgery | 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 | 2015-10-21 |
| 1205121704 | Bindi Naik-mathuria | Surgery | 7512 Hampton Ave, West Hollywood, CA 90046-5503 | 2011-06-13 |
| 1295053437 | Ashley Walther | Surgery | 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 | 2010-05-12 |
| 1881918407 | R V Daluvoy Md Inc | Surgery | 908 East Main St, Barstow, CA 92311-2406 | 2010-03-25 |
| 1215162607 | James Pierce | Surgery | 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 | 2009-05-28 |
| 1790921641 | Clinica Medica Del Valle, Inc. | Surgery | 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 | 2008-12-24 |
| 1225298870 | Payam Saadai | Surgery | 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 | 2008-06-16 |
| 1396916524 | Erin Brown | Surgery | 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 | 2008-03-15 |
| 1124203872 | Children's Hospital Los Angeles Medical Group | Surgery | 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 | 2007-12-31 |
| Find all providers with the same taxonomy | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
Please comment or provide details below to improve the information on CENTRAL COAST PEDIATRIC SURGICAL ASSOCIATES, INC..
| 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.