COUNTY OF SAN LUIS OBISPO (NPI# 1932563053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932563053 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SAN LUIS OBISPO |
| Other Organization Name | SAN LUIS OBISPO COUNTY MENTAL HEALTH SERVICES |
| Practice Address |
1350 E Grand Ave Arroyo Grande CA 93420-2422 |
| Practice Telephone | 8057814700 |
| Mailing Telephone | 8057814700 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | M. DAISY ILANO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8057814700 |
| Authorized Official Credential | MD |
| 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 | 4000 | 05 |
| Other Name | Type Code |
|---|---|
| San Luis Obispo County Mental Health Services | Other Name - Individual/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 |
| 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 |
| 1851633325 | County of San Luis Obispo | Clinic/Center | 810 Niblick Rd, Paso Robles, CA 93446-4858 | 2013-03-22 |
| Street Address |
1350 E GRAND AVE |
| City | ARROYO GRANDE |
| State | CA |
| Zip Code | 93420-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744024 | Beth Curtis Dipietro | Case Manager/Care Coordinator | 1350 E Grand Ave, Arroyo Grande, CA 93420-2422 | 2020-03-10 |
| 1104398155 | Linda Marie Gendron | Social Worker | 1350 E Grand Ave, Arroyo Grande, CA 93420-2422 | 2018-12-31 |
| 1376015289 | Tara Leigh Joaquin | Licensed Psychiatric Technician | 1350 E Grand Ave, Arroyo Grande, CA 93420-2422 | 2018-12-18 |
| 1821595448 | Anthony Thomas Clementi | Counselor | 1350 E Grand Ave, Arroyo Grande, CA 93420-2422 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
| 1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
| 1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
| 1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
| 1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
| 1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
| 1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
| 1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
| Find all providers in zip 93420 | ||||
| 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 |
|---|---|---|---|---|
| 1760540322 | County of San Luis Obispo | Clinic/Center | 354 S Halcyon Rd, Arroyo Grande, CA 93420-3876 | 2006-12-05 |
| 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 | ARROYO GRANDE |
| Zip Code | 93420 |
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.