OrganizationActive
Central Coast Obstetrics & Gynecology, Inc.
NPI 1013181817 · Obstetrics & Gynecology Physician · San Luis Obispo, CA
Provider details
- NPI number
- 1013181817
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Danny Lickness, President(805) 544-8811
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
35 Casa Street
Suite 220
San Luis Obispo, CA 93405-1890
Phone: (805) 548-0775
Fax: (805) 548-0777
Street-level locationGet directions
Mailing address
100 Casa Street
San Luis Obispo, CA 93405-1893
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2010-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.