PACIFIC CENTRAL COAST HEALTH CENTERS (NPI# 1588225353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588225353 |
| Entity Type | Organization |
| Organization Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Practice Address |
4460 Broad St Ste A San Luis Obispo CA 93401-7933 |
| Mailing Address |
117 W Bunny Ave Santa Maria CA 93458-2805 |
| Practice Telephone | 8055976715 |
| Practice Fax Number | 8055414973 |
| Mailing Telephone | 8055976715 |
| Mailing Fax Number | 8057393982 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | MATTHEW RICHARDSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8057393475 |
| 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 |
|---|---|
| Edna Valley Health Center | 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 |
4460 BROAD ST STE A |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-7933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245542224 | Margaret B Greenough | Family Medicine | 4460 Broad St Ste A, San Luis Obispo, CA 93401 | 2010-07-08 |
| 1265833545 | Jessica L Johnson | Physician Assistant | 4460 Broad St Ste A, San Luis Obispo, CA 93401 | 2014-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598002537 | Pacific Central Coast Health Centers | Clinic/Center | 689 Tank Farm Rd Ste 220, San Luis Obispo, CA 93401-7079 | 2013-01-10 |
| 1700803285 | Planned Parenthood California Central Coast | Clinic/Center | 743 Pismo Street, San Luis Obispo, CA 93401 | 2006-07-17 |
| 1497392377 | Pacific Central Coast Health Centers | Clinic/Center | 1551 Bishop St Ste 230, San Luis Obispo, CA 93401-4661 | 2019-12-10 |
| 1417594391 | Pacific Central Coast Health Centers | Clinic/Center | 1551 Bishop St Ste 510, San Luis Obispo, CA 93401-4665 | 2019-12-10 |
| 1689024259 | Pacific Central Coast Health Centers | Clinic/Center | 1941 Johnson Ave, Suite 105b, San Luis Obispo, CA 93401-4140 | 2016-06-15 |
| 1457741837 | Pacific Central Coast Health Centers | Clinic/Center | 1304 Ella St, Suite A, San Luis Obispo, CA 93401-4100 | 2015-01-23 |
| 1093105470 | Pacific Central Coast Health Centers | Clinic/Center | 1555 Higuera St, San Luis Obispo, CA 93401-2917 | 2015-01-23 |
| 1184014565 | Pacific Central Coast Health Centers | Clinic/Center | 1250 Peach St, Suite A, San Luis Obispo, CA 93401-2837 | 2015-01-23 |
| 1053700641 | Pacific Central Coast Health Centers | Clinic/Center | 171 N Santa Rosa St, San Luis Obispo, CA 93405-1328 | 2015-01-20 |
| 1679978274 | Pacific Central Coast Health Centers | Clinic/Center | 715 Tank Farm Rd, Suite C, San Luis Obispo, CA 93401-7068 | 2014-10-27 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on PACIFIC CENTRAL COAST HEALTH CENTERS.
| 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.