COAST FAMILY PRACTICE (NPI# 1811940935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811940935 |
| Entity Type | Organization |
| Organization Name | COAST FAMILY PRACTICE |
| Other Organization Name | ANDREW J. HENNING |
| Practice Address |
201 S Miller St Suite 103 Santa Maria CA 93454-5248 |
| Mailing Address |
201 S Miller St Suite 103 Santa Maria CA 93454-5233 |
| Practice Telephone | 8059283636 |
| Practice Fax Number | 8059283608 |
| Mailing Telephone | 8059283636 |
| Mailing Fax Number | 8059283608 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | DR. ANDREW J HENNING (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 8059283636 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Andrew J. Henning | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750558219 | Coast Family Practice | Family Medicine | 607 E Plaza Dr Ste C-201, Santa Maria, CA 93454-6944 | 2008-05-14 |
| 1902022890 | Coast Family Practice | Physician Assistant | 607 Plaza Dr, Suite C201, Santa Maria, CA 93454-6944 | 2007-04-18 |
| Street Address |
201 S MILLER ST SUITE 103 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457725723 | Francis Peter Lagattuta II | Counselor | 201 S Miller St, Santa Maria, CA 93454-5233 | 2015-11-24 |
| 1407232465 | Ursula Escalante | Community/Behavioral Health | 201 S Miller St, Suite 108, Santa Maria, CA 93454-5233 | 2015-07-31 |
| 1952705782 | Richard Romero | Counselor | 201 S Miller St, Suite 108, Santa Maria, CA 93454-5233 | 2014-10-22 |
| 1376972646 | Amanda Pontis | Clinic/Center | 201 S Miller St, Suite 108, Santa Maria, CA 93454-5233 | 2013-11-06 |
| 1295010858 | Reuben Rodriguez | Counselor | 201 S Miller St, Suite #101 & 102, Santa Maria, CA 93454-5233 | 2011-10-14 |
| 1871882506 | David Lee Martin | Counselor | 201 S Miller St, Santa Maria, CA 93454-5233 | 2011-04-04 |
| 1649572959 | Brittany M Brown | Case Manager/Care Coordinator | 201 S Miller St, 104, Santa Maria, CA 93454-5233 | 2010-11-19 |
| 1407163769 | Vincent Montes | Case Manager/Care Coordinator | 201 S Miller St, 104, Santa Maria, CA 93454-5233 | 2010-09-08 |
| 1790098366 | Sheri Kastrava | Case Manager/Care Coordinator | 201 S Miller St, 104, Santa Maria, CA 93454-5233 | 2010-07-23 |
| 1093043960 | Michael James Scarpiello | Registered Nurse | 201 S Miller St, 104, Santa Maria, CA 93454-5233 | 2009-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093018269 | Jaspal S Dhaliwal | General Practice | 2801 Santa Maria Way # A, Santa Maria, CA 93455-2118 | 2010-12-09 |
| 1891840088 | Central Coast Urgent Care Medical Group | General Practice | 340 East Betteravia Rd, Suite C, Santa Maria, CA 93454-7847 | 2007-01-25 |
| 1053872713 | Restorative Medical PC | General Practice | 1767 S Broadway, Santa Maria, CA 93454-7603 | 2019-03-26 |
| 1609965433 | Thomas Albert Caruso | General Practice | 2271 S. Depot Street, Santa Maria, CA 93455 | 2006-10-12 |
| 1245327840 | Mark Ford Pomerantz | General Practice | 2271 S. Depot Street, Santa Maria, CA 93455 | 2006-10-06 |
| 1285622704 | George J Hiester | General Practice | 220 S Palisade Dr, Suite 104b, Santa Maria, CA 93454-8902 | 2005-10-10 |
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| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
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| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on COAST FAMILY PRACTICE.
| 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.