OrganizationActive
Central Coast Pediatrics Inc
NPI 1770517724 · Pediatrics Physician · San Luis Obispo, CA
Provider details
- NPI number
- 1770517724
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Macias, President/Cfo(805) 549-0888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1235 Osos St
Suite 100
San Luis Obispo, CA 93401-3600
Phone: (805) 549-0888
Fax: (805) 549-8463
Street-level locationGet directions
Mailing address
1235 Osos St
San Luis Obispo, CA 93401-3600
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2022-05-05
- Certified
- 2022-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.