PACIFIC CENTRAL COAST HEALTH CENTERS (NPI# 1215574199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215574199 |
| Entity Type | Organization |
| Organization Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Practice Address |
1255 Las Tablas Rd Ste 201 Templeton CA 93465-9750 |
| Mailing Address |
117 W Bunny Ave Santa Maria CA 93458-2805 |
| Practice Telephone | 8054345530 |
| Practice Fax Number | 8052264108 |
| Mailing Telephone | 8057393890 |
| Mailing Fax Number | 8053477697 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | MATTHEW RICHARDSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8057393108 |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Coast Gastroenterology - Templeton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1396387569 | Pacific Central Coast Health Centers | Clinic/Center | 3807 Union Ave # B, Bakersfield, CA 93305-2400 | 2019-10-09 |
| 1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
| 1023523990 | Pacific Central Coast Health Centers | Clinic/Center | 2271 S Depot St, Santa Maria, CA 93455-1216 | 2017-12-13 |
| 1306225941 | Pacific Central Coast Health Centers | Clinic/Center | 1102 E Clark Ave, Suite 120a, Santa Maria, CA 93455-5174 | 2015-05-28 |
| 1598002537 | Pacific Central Coast Health Centers | Clinic/Center | 689 Tank Farm Rd Ste 220, San Luis Obispo, CA 93401-7079 | 2013-01-10 |
| 1063496651 | Pacific Central Coast Health Centers | Clinic/Center | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2005-12-06 |
| 1356949291 | Pacific Central Coast Health Centers | Clinic/Center | 3418 Loma Vista Rd Ste B, Ventura, CA 93003-3065 | 2020-10-13 |
| 1821610239 | Pacific Central Coast Health Centers | Clinic/Center | 1300 E Cypress St Ste B1, Santa Maria, CA 93454-4730 | 2020-05-08 |
| Street Address |
1255 LAS TABLAS RD STE 201 |
| City | TEMPLETON |
| State | CA |
| Zip Code | 93465-9750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942224001 | Kristi Sue Cottrell | Nurse Practitioner | 1255 Las Tablas Rd Ste 201, Templeton, CA 93465-9750 | 2006-07-26 |
| 1902455496 | Kristine Hunter | Internal Medicine | 1255 Las Tablas Rd Ste 201, Templeton, CA 93465-9750 | 2019-09-06 |
| 1851829931 | Rosa Perez Wright | Physician Assistant | 1255 Las Tablas Rd Ste 201, Templeton, CA 93465-9750 | 2017-06-01 |
| 1144316878 | Jeffry Allen Brown | Internal Medicine | 1255 Las Tablas Rd Ste 201, Templeton, CA 93465 | 2006-10-04 |
| 1184725707 | Jonathan Lee Riegler | Internal Medicine | 1255 Las Tablas Rd Ste 201, Templeton, CA 93465-9750 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346773306 | Edward Delos Trino | Nurse Practitioner | 350 Posada Ln # 102, Templeton, CA 93465 | 2017-04-06 |
| 1497102883 | Miriam Castillo | Counselor | 44 Brewer St, Templeton, CA 93465 | 2016-05-16 |
| 1013395821 | Marna Moore-barr | Registered Nurse | 90 Dandelion Ln, Templeton, CA 93465 | 2015-05-12 |
| 1396007308 | Melissa Lee Gaidis | Psychologist | 225 Posada Lane, Suite L, Templeton, CA 93465 | 2012-06-14 |
| 1033418736 | Central Coast Associated Physicians, Inc. | Internal Medicine | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465 | 2011-03-21 |
| 1922306281 | Benjamin Ernest Bartel | Counselor | 1827 Orlen Lane, Templeton, CA 93465 | 2011-03-09 |
| 1003116674 | Tiffney Taylor | Internal Medicine | 265 Posada Ln Ste B, Templeton, CA 93465 | 2010-10-28 |
| 1124355342 | Mary Christine Schaff | Nurse Practitioner | 1111 Las Tablas Rd., Ste. M, Templeton, CA 93465 | 2009-11-09 |
| 1417196890 | Liberty Michael Romig | Marriage & Family Therapist | 318 Crocker Street, Templeton, CA 93465 | 2009-02-09 |
| 1427212273 | Linda Kay Shaleen | Social Worker | 212 Main Street Suite 201, Templeton, CA 93465 | 2008-07-10 |
| Find all providers in zip 93465 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548648801 | Community Health Centers of The Central Coast Inc | Clinic/Center | 292 Posada Ln, Templeton, CA 93465-4054 | 2015-05-07 |
| 1225428600 | Pacific Central Coast Health Centers | Clinic/Center | 265 Posada Ln, Suite B, Templeton, CA 93465-4056 | 2015-01-23 |
| 1336553767 | Pacific Central Coast Health Centers | Clinic/Center | 350 Posada Ln, Suite 202, Templeton, CA 93465-4059 | 2014-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1891301578 | Vida Community Clinic | Clinic/Center | 1519 Woodworth St, San Fernando, CA 91340-4153 | 2020-09-18 |
| 1982210522 | Life Helping Hands Inc | Clinic/Center | 987 Haley Talbert Dr, Corona, CA 92881-8402 | 2020-09-18 |
| 1780292912 | Marin Community Clinic | Clinic/Center | 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2009 | 2020-07-14 |
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1740812866 | Tauna Mcginnis | Clinic/Center | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-02-06 |
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.