PACIFIC CENTRAL COAST HEALTH CENTERS


Address: 1102 E Clark Ave, Suite 120a, Santa Maria, CA 93455-5174
Phone: 8059377203

PACIFIC CENTRAL COAST HEALTH CENTERS (NPI# 1306225941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306225941
Entity Type Organization
Organization Name PACIFIC CENTRAL COAST HEALTH CENTERS
Other Organization Name MED PLUS ORCUTT
Practice Address 1102 E Clark Ave
Suite 120a
Santa Maria
CA 93455-5174
Mailing Address 117 W Bunny Ave
Santa Maria
CA 93458-2805
Practice Telephone 8059377203
Practice Fax Number 8053477697
Mailing Telephone 8057393474
Mailing Fax Number 8056145956
Enumeration Date 2015-05-28
Last Update Date 2018-12-07
Authorized Official Name MATTHEW RICHARDSON (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8057393108
Is Organization Subpart Y
Parent Organization Name PACIFIC CENTRAL COAST HEALTH CENTERS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Med Plus Orcutt Doing Business As Name - Organization
Orcutt Walk-In Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1497392377 Pacific Central Coast Health Centers Clinic/Center 1551 Bishop St Ste 230, San Luis Obispo, CA 93401-4661 2019-12-10

Office Location

Street Address 1102 E CLARK AVE
SUITE 120A
City SANTA MARIA
State CA
Zip Code 93455-5174

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932724507 Cottage Clinical Network, LLC Clinic/Center 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 2020-06-10
1750905907 Cottage Clinical Network, LLC Clinic/Center 3569 Skyway Drive, Santa Maria, CA 93455 2020-06-03
1891256194 Derin Deniz Allard Student in an Organized Health Care Education/Training Program Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 2019-03-28
1942781729 Shannon Leigh Stamey Marriage & Family Therapist 235 E Clark Ave, Orcutt, CA 93455 2018-08-28
1710471362 Amit Rawal Behavioral Analyst 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 2018-06-18
1548799075 Karina Valdez Marriage & Family Therapist 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 2017-06-08
1801337464 Brenee English Counselor 144 George Lane, Orcutt, CA 93455 2017-03-15
1043762883 Changing Faces Inc. I/ii Community/Behavioral Health 4160 Odie Lane, Santa Maria, CA 93455 2016-10-27
1194177964 Lindsay E Soto Counselor 3653 Corta Bella Way, Santa Maria, CA 93455 2016-07-06
1003239427 Wellness Solutions, Inc Chiropractor 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 2014-01-22
Find all providers in zip 93455

Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023523990 Pacific Central Coast Health Centers Clinic/Center 2271 S Depot St, Santa Maria, CA 93455-1216 2017-12-13
1861791378 Community Health Centers of The Central Coast, Inc Clinic/Center 210 N Broadway, Santa Maria, CA 93454-4415 2011-03-23
1811914674 Planned Parenthood California Central Coast Clinic/Center 415 East Chapel Street, Santa Maria, CA 93454 2006-07-17
1063496651 Pacific Central Coast Health Centers Clinic/Center 117 W Bunny Ave, Santa Maria, CA 93458-2805 2005-12-06
1821610239 Pacific Central Coast Health Centers Clinic/Center 1300 E Cypress St Ste B1, Santa Maria, CA 93454-4730 2020-05-08
1306319595 Pacific Central Coast Health Centers Clinic/Center 1325 E Church St Ste 301, Santa Maria, CA 93454-5915 2019-01-10
1417462375 Pacific Central Coast Health Centers Clinic/Center 2880 Santa Maria Way, Santa Maria, CA 93455-2103 2017-12-13
1265806020 Pacific Central Coast Health Centers Clinic/Center 206 S Stratford Ave, Suite B, Santa Maria, CA 93454-5901 2015-11-17
1760861306 Pacific Central Coast Health Centers Clinic/Center 5075 S Bradley Rd, Suite 131, Santa Maria, CA 93455-5077 2015-05-28
1760887368 Pacific Central Coast Health Centers Clinic/Center 300 S Stratford Ave, Santa Maria, CA 93454-5903 2014-10-27
Find all providers in SANTA MARIA

Competitor

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City SANTA MARIA
Zip Code 93455

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Dataset Information

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.

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