Organization
CENTRAL COAST FOOT & ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE D LARSON DPM (CEO/PHYSICIAN)
(480) 338-1847
Entity
Organization
Contact information
Practice address
325 POSADA LN UNIT B, TEMPLETON, CA 93465-4003
(805) 209-4400
(805) 209-4444
Mailing address
325 POSADA LN UNIT B, TEMPLETON, CA 93465-4003
(805) 209-4400
(805) 209-4444
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528412244
NPI INDIVIDUAL
CA
05
—
1528412244
—
CA
05
—
1598389389
—
CA
Enumeration date
11/07/2016
Last updated
09/09/2025
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