CENTRAL COAST MEDICAL GROUP
NPI 1255768057
Family Medicine in Lompoc, CA

NPI Status: Active since October 11, 2013

Contact Information

119 S B ST
LOMPOC, CA
ZIP 93436
Phone: (805) 740-9400
Fax: (805) 741-2640

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  • Organization
  • Family Medicine
  • CLIA Number: 05D2072410
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-10-2025

About CENTRAL COAST MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Central Coast Medical Group, a primary care provider established in Lompoc, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1255768057 assigned on October 2013. The practitioner's primary taxonomy code is 207Q00000X with license number G71040 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is John Michael Sawyer M.d. (Partner)

NPI
1255768057
Provider Name
CENTRAL COAST MEDICAL GROUP
Entity Type
Organization
Location Address
119 S B ST LOMPOC, CA 93436
Location Phone
(805) 740-9400
Location Fax
(805) 741-2640
Mailing Address
119 S B ST LOMPOC, CA 93436
Mailing Phone
(805) 740-9400
Mailing Fax
(805) 741-2640
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2013
Last Update Date
08-01-2024
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A primary care provider (PCP) like Central Coast Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
G71040
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN MICHAEL SAWYER M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(805) 740-9400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1750395224OTHER (01)CANPI

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2072410
Facility Type
Physician Office
Certificate Effective Date
September 11, 2023
Certificate Expiration Date
September 10, 2025
Laboratory Director
JOHN M. SAWYER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Central Coast Medical Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255768057
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210514616010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 6 + 1 + 6 + 0 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1255768057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255768057, enumerated in the NPI registry as an "organization" on October 11, 2013

The provider is located at 119 S B St Lompoc, Ca 93436 and the phone number is (805) 740-9400

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D2072410 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on October 11, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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