COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC (NPI# 1629377452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629377452 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC |
| Other Organization Name | COMMUNITY HEALTH CENTERS-CASA |
| Practice Address |
77 Casa St Ste 201 San Luis Obispo CA 93405-5806 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8052691500 |
| Practice Fax Number | 8052691585 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2019-01-21 |
| Authorized Official Name | MR. RONALD E CASTLE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8059293211 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Community Health Centers-Casa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861791378 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 210 N Broadway, Santa Maria, CA 93454-4415 | 2011-03-23 |
| 1952390254 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2005-10-19 |
| 1891118147 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 210 S Palisade Dr, Suite 102, Santa Maria, CA 93454-8901 | 2014-01-22 |
| 1508105008 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 4711 Highway 166, New Cuyama, CA 93254-0000 | 2013-02-05 |
| 1952600462 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 495 Valley Rd, Arroyo Grande, CA 93420-3928 | 2011-03-23 |
| 1598064008 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 260 Station Way, Arroyo Grande, CA 93420-3359 | 2011-03-23 |
| 1275550295 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 325 Posada Ln, Templeton, CA 93465-4003 | 2006-07-16 |
| Street Address |
77 CASA ST STE 201 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487610333 | Ann L Bollay | Internal Medicine | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2006-04-20 |
| 1114488830 | Kelli Maureen Compean | Nurse Practitioner | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2019-03-26 |
| 1801380605 | Jonas Morales | Nurse Practitioner | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2018-06-15 |
| 1003048620 | Tina Lisa Heck | Physician Assistant | 77 Casa St Ste 201, San Luis Obispo, CA 93405-5806 | 2009-08-14 |
| 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 | 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 |
| 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 |
| 1053700641 | Pacific Central Coast Health Centers | Clinic/Center | 171 N Santa Rosa St, San Luis Obispo, CA 93405-1328 | 2015-01-20 |
| 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 COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
| 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.