COUNTY OF SAN LUIS OBISPO (NPI# 1841351525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841351525 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SAN LUIS OBISPO |
| Other Organization Name | JUVENILE SERVICES CENTER |
| Practice Address |
1065 Kansas Ave San Luis Obispo CA 93408-0001 |
| Mailing Address |
2178 Johnson Ave San Luis Obispo CA 93401-4535 |
| Practice Telephone | 8057814700 |
| Mailing Telephone | 8057814700 |
| Mailing Fax Number | 8057811273 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | M. DAISY ILANO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8057814700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 4052 | 05 |
| Other Name | Type Code |
|---|---|
| Juvenile Services Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902579 | County of San Luis Obispo | Clinic/Center | 406 Spring St, Paso Robles, CA 93446-3126 | 2019-09-20 |
| 1265945182 | County of San Luis Obispo | Community/Behavioral Health | 2820 Santa Rosa Creek Rd, Cambria, CA 93428-3524 | 2017-11-14 |
| 1134648603 | County of San Luis Obispo | Community/Behavioral Health | 1499 San Luis Dr, San Luis Obispo, CA 93401-3060 | 2017-09-15 |
| 1932563053 | County of San Luis Obispo | Clinic/Center | 1350 E Grand Ave, Arroyo Grande, CA 93420-2422 | 2016-04-06 |
| 1659776888 | County of San Luis Obispo | Community/Behavioral Health | 3500 El Camino Real, Atascadero, CA 93422-4189 | 2014-10-30 |
| 1679976104 | County of San Luis Obispo | Community/Behavioral Health | 1511 19th St, Oceano, CA 93445 | 2014-09-29 |
| 1770986291 | County of San Luis Obispo | Community/Behavioral Health | 920 W Tefft St, Nipomo, CA 93444-9624 | 2014-09-29 |
| 1366844011 | County of San Luis Obispo | Community/Behavioral Health | 1555 El Morro Ave, Los Osos, CA 93402-1910 | 2014-09-24 |
| 1831519875 | County of San Luis Obispo | Clinic/Center | 2180 Johnson Ave Fl 1, San Luis Obispo, CA 93401-4513 | 2014-04-17 |
| 1952736647 | County of San Luis Obispo | Community/Behavioral Health | 801 Grand Ave, San Luis Obispo, CA 93401-2641 | 2013-09-12 |
| Street Address |
1065 KANSAS AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93408-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003365982 | Eugene Roberts Jr. | Case Manager/Care Coordinator | 1065 Kansas Ave, San Luis Obispo, CA 93405 | 2016-10-03 |
| 1336695907 | Nikita Brixey | Case Manager/Care Coordinator | 1065 Kansas Ave, San Luis Obispo, CA 93401 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902150881 | Natalia Luz Ruiz | Counselor | 2180 Johnson Avenue, San Luis Obispo, CA 93408 | 2012-10-31 |
| 1427348952 | Sydney Eaker | Marriage & Family Therapist | 2170 Bishop St, San Luis Obispo, CA 93408-0001 | 2011-04-18 |
| 1184893554 | San Luis Obispo County Probation Department | Case Management | 1276 Johnson Ave, San Luis Obispo, CA 93408-0001 | 2008-02-29 |
| 1669525218 | Judith Putnam Kaliski | Psychologist | San Luis Obispo Community Mental Health Ipu, 2179 Johnson Ave., San Luis Obispo, CA 93408-0001 | 2007-01-18 |
| 1013171990 | Watson Payne Gooch | Social Worker | 1276 Johnson Ave, San Luis Obispo, CA 93408-0001 | 2008-07-10 |
| 1851805519 | Martin Meraz Jr. | Case Manager/Care Coordinator | 1050 Monterey St, San Luis Obispo, CA 93408-6000 | 2017-11-16 |
| 1407972706 | Patrice Andrea Lalonde | Nurse Practitioner | 2180 Johnson Street, San Luis Obispo, CA 93408-6041 | 2007-03-21 |
| 1649496886 | Rhea D. Liiamaa | Marriage & Family Therapist | 2180 Johnson Ave, San Luis Obispo, CA 93408-7001 | 2007-04-17 |
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831519875 | County of San Luis Obispo | Clinic/Center | 2180 Johnson Ave Fl 1, San Luis Obispo, CA 93401-4513 | 2014-04-17 |
| 1871825125 | Larry Galpert, Phd | Clinic/Center | 1540 Marsh St, Suite 260, San Luis Obispo, CA 93401-2936 | 2010-02-10 |
| 1487714697 | County of San Luis Obispo | Clinic/Center | 277 South St Ste T, San Luis Obispo, CA 93401-5039 | 2006-12-11 |
| 1033761358 | Women's Shelter Program of San Luis Obispo County | Clinic/Center | 51 Zaca Ln Ste 150, San Luis Obispo, CA 93401-7319 | 2019-07-16 |
| 1730696337 | County of San Luis Obispo | Clinic/Center | 2945 Mcmillan Ave Ste 136, San Luis Obispo, CA 93401-6774 | 2018-01-04 |
| 1073501870 | County of San Luis Obispo | Clinic/Center | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93408 |
Please comment or provide details below to improve the information on COUNTY OF SAN LUIS OBISPO.
| 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.