PACIFIC CENTRAL COAST HEALTH CENTERS


Address: 171 N Santa Rosa St, San Luis Obispo, CA 93405-1328
Phone: 8057393890

PACIFIC CENTRAL COAST HEALTH CENTERS (NPI# 1053700641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053700641
Entity Type Organization
Organization Name PACIFIC CENTRAL COAST HEALTH CENTERS
Other Organization Name MEDICAL CLINIC AT SANTA ROSA
Practice Address 171 N Santa Rosa St
San Luis Obispo
CA 93405-1328
Mailing Address 117 W Bunny Ave
Santa Maria
CA 93458-2805
Practice Telephone 8057393890
Practice Fax Number 8053477697
Mailing Telephone 8057393474
Mailing Fax Number 8056145956
Enumeration Date 2015-01-20
Last Update Date 2018-11-12
Authorized Official Name MATTHEW RICHARDSON (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8057393108
Is Organization Subpart Y
Parent Organization Name PACIFIC CENTRAL COAST HEALTH CENTERS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Medical Clinic at Santa Rosa Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 171 N SANTA ROSA ST
City SAN LUIS OBISPO
State CA
Zip Code 93405-1328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619227675 Cuesta Medical Group Inc Family Medicine 171 N Santa Rosa St, San Luis Obispo, CA 93405-1328 2012-09-17

Providers in the same zip code

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 Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1588225353 Pacific Central Coast Health Centers Clinic/Center 4460 Broad St Ste A, San Luis Obispo, CA 93401-7933 2019-06-24
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
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

Competitor

Search similar providers

City SAN LUIS OBISPO
Zip Code 93405

Improve Information

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Dataset Information

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.

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