| Organization Name: | CENTRAL COAST URGENT CARE MEDICAL GROUP |
| NPI Number: | 1891840088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS A CARUSO (PHYSICIAN PARTNER) |
| Mailing Address: | 340 East Betteravia Rd Suite C Santa Maria |
| State: | CA US |
| Postal Code: | 934547847 |
| Phone Number: | 8059220561 |
| Fax Number: | 8059220083 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 06/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |