CENTRAL COAST VETERANS ASSOCIATES LLC (NPI# 1528695319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528695319 |
| Entity Type | Organization |
| Organization Name | CENTRAL COAST VETERANS ASSOCIATES LLC |
| Practice Address |
1890 Diablo Drive San Luis Obispo CA 93405-4762 |
| Practice Telephone | 8054592585 |
| Practice Fax Number | 8057810525 |
| Mailing Telephone | 8054592585 |
| Mailing Fax Number | 8057810525 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | BRIAN MICHAEL REES (MANAGING MEMBER) |
| Authorized Official Telephone | 8054592585 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1890 DIABLO DRIVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-4762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504754 | Transitions Mental Health Association | Community/Behavioral Health | 1750 Bishop St, San Luis Obispo, CA 93401-4691 | 2020-10-05 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1134648603 | County of San Luis Obispo | Community/Behavioral Health | 1499 San Luis Dr, San Luis Obispo, CA 93401-3060 | 2017-09-15 |
| 1366994634 | Central Coast Employee Assistance & Counseling Services | Community/Behavioral Health | 1107 Johnson Ave, San Luis Obispo, CA 93401-3303 | 2016-11-02 |
| 1033574462 | Transitions Mental Health Association | Community/Behavioral Health | 1977 Santa Barbara Avenue, Suite 101, San Luis Obispo, CA 93401-5235 | 2015-12-30 |
| 1407230329 | Sierra Mental Wellness Group | Community/Behavioral Health | 2945 Mcmillan Avenue, #240, San Luis Obispo, CA 93401-6766 | 2015-07-10 |
| 1952736647 | County of San Luis Obispo | Community/Behavioral Health | 801 Grand Ave, San Luis Obispo, CA 93401-2641 | 2013-09-12 |
| 1821383852 | Family Care Network, Inc | Community/Behavioral Health | 2755 Augusta St, San Luis Obispo, CA 93401-5307 | 2011-06-17 |
| 1386855393 | San Luis Obispo County Drug & Alcohol | Community/Behavioral Health | 1028 Pacific St, San Luis Obispo, CA 93401-3651 | 2007-05-24 |
| 1083146237 | Feeling Doctor Psychotherapy, Apc | Community/Behavioral Health | 1985 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2017-03-28 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
Please comment or provide details below to improve the information on CENTRAL COAST VETERANS ASSOCIATES LLC.
| 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.