PACIFIC CENTRAL COAST HEALTH CENTERS (NPI# 1710220439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710220439 |
| Entity Type | Organization |
| Organization Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Other Organization Name | LOS PADRES SPECIALTY CENTER |
| Practice Address |
116 S Palisade Dr Ste 104 Santa Maria CA 93454 |
| Mailing Address |
117 W Bunny Ave Santa Maria CA 93458-2805 |
| Practice Telephone | 8056142095 |
| Practice Fax Number | 8056142096 |
| Mailing Telephone | 8057393898 |
| Mailing Fax Number | 8056145932 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2019-04-16 |
| Authorized Official Name | MATTHEW RICHARDSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8057393108 |
| 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 |
|---|---|
| Los Padres Specialty Center | Doing Business As Name - Organization |
| Plaza Health Center | Doing Business As Name - Organization |
| Trauma Specialty 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 |
116 S PALISADE DR STE 104 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083672653 | Barry Steven Feldman | Internal Medicine | 116 S Palisade Dr Ste 104, Santa Maria, CA 93454-8905 | 2006-05-03 |
| 1073955290 | Sina Abhari | Obstetrics & Gynecology | 116 S Palisade Dr Ste 104, Santa Maria, CA 93454-8905 | 2013-07-30 |
| 1548423585 | Monique Norma Diaz | Physical Medicine & Rehabilitation | 116 S Palisade Dr Ste 104, Santa Maria, CA 93454 | 2008-07-09 |
| 1619083250 | Lynn Gretkowski | Obstetrics & Gynecology | 116 S Palisade Dr Ste 104, Santa Maria, CA 93454-8905 | 2006-08-23 |
| 1780603506 | David D Book | Orthopaedic Surgery | 116 S Palisade Dr Ste 104, Santa Maria, CA 93454-8905 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1861791378 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 210 N Broadway, Santa Maria, CA 93454-4415 | 2011-03-23 |
| 1811914674 | Planned Parenthood California Central Coast | Clinic/Center | 415 East Chapel Street, Santa Maria, CA 93454 | 2006-07-17 |
| 1063496651 | Pacific Central Coast Health Centers | Clinic/Center | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2005-12-06 |
| 1821610239 | Pacific Central Coast Health Centers | Clinic/Center | 1300 E Cypress St Ste B1, Santa Maria, CA 93454-4730 | 2020-05-08 |
| 1306319595 | Pacific Central Coast Health Centers | Clinic/Center | 1325 E Church St Ste 301, Santa Maria, CA 93454-5915 | 2019-01-10 |
| 1417462375 | Pacific Central Coast Health Centers | Clinic/Center | 2880 Santa Maria Way, Santa Maria, CA 93455-2103 | 2017-12-13 |
| 1265806020 | Pacific Central Coast Health Centers | Clinic/Center | 206 S Stratford Ave, Suite B, Santa Maria, CA 93454-5901 | 2015-11-17 |
| 1760861306 | Pacific Central Coast Health Centers | Clinic/Center | 5075 S Bradley Rd, Suite 131, Santa Maria, CA 93455-5077 | 2015-05-28 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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.