COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC (NPI# 1376560151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376560151 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC |
| Other Organization Name | COMMUNITY HEALTH CENTERS GUADALUPE |
| Practice Address |
4723 W Main St Ste H Guadalupe CA 93434-1787 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8053435577 |
| Practice Fax Number | 8053435578 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-01-21 |
| Authorized Official Name | RONALD E CASTLE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8053463905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Health Centers Guadalupe | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462102 | Community Health Centers of The Central Coast Inc | Clinic/Center | 2800 Riverside Ave Ste 101, Paso Robles, CA 93446-1312 | 2019-08-14 |
| 1871010280 | Community Health Centers of The Central Coast Inc | Clinic/Center | 1205 E Grand Ave Ste H, Arroyo Grande, CA 93420-2419 | 2017-08-25 |
| 1417480294 | Community Health Centers of The Central Coast Inc | Clinic/Center | 2120 Cienaga, Oceano, CA 93445-9029 | 2017-04-07 |
| 1447798061 | Community Health Centers of The Central Coast Inc | Clinic/Center | 2050 S Blosser Rd, Santa Maria, CA 93458-7310 | 2017-02-02 |
| 1770946840 | Community Health Centers of The Central Coast Inc | Clinic/Center | 429 Leslie St, Los Alamos, CA 93440 | 2016-04-05 |
| 1851417703 | Community Health Centers of The Central Coast Inc | Clinic/Center | 201 W Mill St, Santa Maria, CA 93458-4327 | 2007-03-22 |
| 1841217882 | Community Health Centers of The Central Coast Inc | Clinic/Center | 660 Harbor St, Morro Bay, CA 93442-1906 | 2006-07-16 |
| 1336166248 | Community Health Centers of The Central Coast Inc | Clinic/Center | 1981 Cienaga St, Oceano, CA 93445-9029 | 2006-07-16 |
| 1124045042 | Community Health Centers of The Central Coast Inc | Clinic/Center | 416 Spring St Ste 201, Paso Robles, CA 93446-3155 | 2006-07-16 |
| 1295198356 | Community Health Centers of The Central Coast Inc | Clinic/Center | 1385 Mission St, San Miguel, CA 93451 | 2016-04-05 |
| Street Address |
4723 W MAIN ST STE H |
| City | GUADALUPE |
| State | CA |
| Zip Code | 93434-1787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652498 | Antonio Serrano | Social Worker | 4723 W Main St Ste H, Guadalupe, CA 93434-1787 | 2020-06-03 |
| 1730676040 | Jose Isbaal Escalante | Physician Assistant | 4723 W Main St Ste H, Guadalupe, CA 93434-1787 | 2018-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881858 | Marie-anne Larsen | Skilled Nursing Facility | 5078 Pacific Dunes Cir, Guadalupe, CA 93434 | 2017-03-02 |
| 1619228293 | Veronica Velasquez-rodarte | Counselor | 4484 Fourth St., Guadalupe, CA 93434 | 2012-09-24 |
| 1770895773 | Patricia Lopez Barriga | Social Worker | 4681 11th Street, Guadalupe, CA 93434 | 2010-07-07 |
| 1831245786 | Teresann Nickle | Nurse Practitioner | 4723 W. Main St., Ste H, Guadalupe, CA 93434 | 2007-01-25 |
| 1407393630 | Family Service Agency of Santa Barbara County | Case Management | 4460 10th St, Guadalupe, CA 93434 | 2017-01-25 |
| 1932570447 | Star Pharmacy Rx Inc | Pharmacy | 830 Guadalupe St, Guadalupe, CA 93434-1316 | 2015-10-09 |
| 1265979322 | Duaa Hassan | Pharmacist | 830 Guadalupe St, Guadalupe, CA 93434-1316 | 2017-01-27 |
| 1730352592 | Elizabeth Vega Martinez | Case Manager/Care Coordinator | 928 Guadalupe St, 928 Guadalupe St, Guadalupe, CA 93434-1318 | 2008-04-11 |
| 1225691397 | Laurie Jean Brummet | Registered Nurse | 1050 Peralta St, Guadalupe, CA 93434-1418 | 2019-04-15 |
| 1124203047 | Social Advocates for Youth - Santa Maria, Inc. | Marriage & Family Therapist | 4460 10th St, Guadalupe, CA 93434-1420 | 2008-01-09 |
| Find all providers in zip 93434 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.