| Central Coast Chest Consultants Medical Corporation | |
|
1428 Phillips Ln Suite 203 San Luis Obispo CA 93401-2537 | |
| (805) 543-4407 | |
| (805) 543-4587 |
| Full Name | Central Coast Chest Consultants Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1428 Phillips Ln, San Luis Obispo, California |
| Authorized Official Name and Position | Michael J Ryan (PRESIDENT) |
| Authorized Official Contact | 8055434407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Chest Consultants Medical Corporation Po Box 12460 San Luis Obispo CA 93406-2460 Ph: (805) 548-1142 | Central Coast Chest Consultants Medical Corporation 1428 Phillips Ln Suite 203 San Luis Obispo CA 93401-2537 Ph: (805) 543-4407 |
| NPI Number | 1740267574 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 06/11/2024 |
| Medicare PECOS PAC ID | 6800877101 |
|---|---|
| Medicare Enrollment ID | O20040524001499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740267574 | NPI | - | NPPES |
| ZZZ138137Z | Other | CA | BLUE SHIELD PIN - SVRMC |
| 184149800 | Other | US DOL PIN | |
| GR0046460 | Medicaid | CA | |
| ZZZ25763Z | Other | CA | BLUE SHIELD PIN - PHILLIP |
| ZZZ138136Z | Other | CA | BLUE SHIELD PIN - FRENCH |
| ZZZ13198Z | Other | CA | BLUE SHIELD TEMPLETON |
| Provider Name | Michael James Ryan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700863511 PECOS PAC ID: 8325011364 Enrollment ID: I20040817001070 |
| Provider Name | Mark I Soll |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750367587 PECOS PAC ID: 1254312556 Enrollment ID: I20080804000271 |
| Provider Name | Ross G Michel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871633784 PECOS PAC ID: 6901931500 Enrollment ID: I20100322000604 |
| Provider Name | Laura A Lubarsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639155468 PECOS PAC ID: 4880675180 Enrollment ID: I20100323000271 |
| Provider Name | Shinkai Hakimi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477758340 PECOS PAC ID: 5991969891 Enrollment ID: I20160318000747 |
| Provider Name | Gregory Scott Canfield |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144632159 PECOS PAC ID: 8426345869 Enrollment ID: I20160928001288 |
| Provider Name | Ian N Britton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508153024 PECOS PAC ID: 4981848355 Enrollment ID: I20180611002720 |
| Provider Name | Justin N Grammy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003254483 PECOS PAC ID: 3274804752 Enrollment ID: I20180901000074 |
Telebelly Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Jespersen Rd, San Luis Obispo, CA 93401 Phone: 206-661-7283 | |
San Luis Obispo Family Healthcare A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Peach St, Ste A, San Luis Obispo, CA 93401 Phone: 805-596-0900 Fax: 805-596-0411 | |
Kevin Parzych A Medical Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4311 Larkspur St, San Luis Obispo, CA 93401 Phone: 801-918-4238 | |
Gayle Cekada Md Inc A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 184 Casa St, San Luis Obispo, CA 93405 Phone: 805-903-1391 Fax: 805-785-0367 | |
Primary Care At Sierra Vista Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Casa St, Suite 108, San Luis Obispo, CA 93405 Phone: 805-541-6225 | |
Fcpp-central Coast Family Health-slo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Casa St, Suite 320, San Luis Obispo, CA 93405 Phone: 805-250-4844 | |
Higuera Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401 Phone: 805-739-3890 Fax: 805-347-7697 |