# CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Coast Family Care Medical Associates of Santa Maria, Inc, Central Coast Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194913921
- **Authorized official:** DR. LAURA J THEIS MD (PRESIDENT)
- **Authorized official phone:** (805) 349-1227

## Contact information

- **Practice address:** 220 S PALISADE DR STE 104B, SANTA MARIA, CA 93454-5931
- **Practice address phone:** (805) 925-2521
- **Mailing address:** 220 S PALISADE DR, SUITE 131, SANTA MARIA, CA 93454-8902
- **Mailing address phone:** (805) 925-2521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 02/20/2020