CAC COLLEGE STREET CENTER (NPI# 1447775028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447775028 |
| Entity Type | Organization |
| Organization Name | CAC COLLEGE STREET CENTER |
| Practice Address |
648 N G St Lompoc CA 93436-5360 |
| Practice Telephone | (805) 737-7272 |
| Practice Fax Number | 8057277278 |
| Mailing Telephone | 8057377272 |
| Mailing Fax Number | 8057277278 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. DAVID LAUREL SCOTT (CLINICAL SERVICES ANALYST) |
| Authorized Official Telephone | 8052604676 |
| Authorized Official Credential | PSY.D., LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY ACTION COMMSSION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
28718 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1457553174 | 05 |
| Street Address |
648 N G ST |
| City | LOMPOC |
| State | CA |
| Zip Code | 93436-5360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
| 1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
| 1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
| 1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
| 1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
| 1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
| Find all providers in zip 93436 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053952622 | Miranda Alayne Rich | Counselor | 115 E Hickory Ave Ste C, Lompoc, CA 93436-7274 | 2019-10-03 |
| 1659896215 | Cac 'i' Street Center | Counselor | 228 N I St, Lompoc, CA 93436-5921 | 2017-08-04 |
| 1487179040 | Cac Fillmore Center | Counselor | 1316 E Oak Ave, Lompoc, CA 93436-4200 | 2017-08-04 |
| 1346790995 | Megan Plumlee | Counselor | 4047 Constellation Rd, Lompoc, CA 93436-1412 | 2016-10-06 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1215318894 | Marissa Yvonne Brady | Counselor | 208 North Rd Spc E, Lompoc, CA 93436-2709 | 2015-06-09 |
| 1366832297 | Miriam Theresa Lamb | Counselor | 40 Galaxy Way, Lompoc, CA 93436-1103 | 2015-01-30 |
| 1396030433 | Linda Read | Counselor | 401 E. Cypress, Lompoc, CA 93436 | 2011-06-16 |
| 1770896375 | Maria Guadalupe Sandoval | Counselor | 111 South I St., Suite 1c, Lompoc, CA 93436 | 2010-07-23 |
| 1629396031 | Chirala Pillay | Counselor | 401 East Cypress Ave, Lompoc, CA 93436-4519 | 2010-05-10 |
| Find all providers in LOMPOC | ||||
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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.