Organization provider

COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.

Health Maintenance Organization Medicare enrolled

COASTAL COMMUNITIES PHYSICIAN NETWORK, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1275735011, based in San Luis Obispo, CA. It is classified under Health Maintenance Organization.

Getting there

The practice address on file is 35 CASA ST STE 170, San Luis Obispo, CA 93405. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

35 CASA ST STE 170, San Luis Obispo, CA 93405 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
30221170 CA Health Maintenance Organization primary

This provider holds licence 30221170 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
1951614775
Enrollment ID
O20150723008464

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Health Maintenance Organization covers

(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. NUCC Health Care Provider Taxonomy, code 302R00000X
Managed Care Organizations Health Maintenance Organization

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1275735011 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 4, 2007
Last updatedJul 21, 2015
StatusActive
Practice address 35 CASA ST STE 170
San Luis Obispo, CA 93405
(805) 549-0677
Fax (805) 549-7588
Mailing address 4580 CALIFORNIA AVE
Bakersfield, CA 93309
This record was last updated on Jul 21, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1275735011 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 7 5 7 3 5 0 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 5 5 5 3 1 0 2

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1275735011?
NPI 1275735011 is the National Provider Identifier assigned to COASTAL COMMUNITIES PHYSICIAN NETWORK, INC. in San Luis Obispo, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Health Maintenance Organization cover?
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit…
How do I contact COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.?
The phone number on file with NPPES is (805) 549-0677, last updated Jul 21, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does COASTAL COMMUNITIES PHYSICIAN NETWORK, INC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1275735011 a valid number?
Yes. 1275735011 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.