CAC SIERRA MADRE (NPI# 1770008336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770008336 |
| Entity Type | Organization |
| Organization Name | CAC SIERRA MADRE |
| Practice Address |
1002 Sierra Madre Ave Santa Maria CA 93454-6337 |
| Practice Telephone | (805) 349-9707 |
| Practice Fax Number | 8053498221 |
| Mailing Telephone | 8053499707 |
| Mailing Fax Number | 8053498221 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. DAVID LAUREL SCOTT (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 8052604676 |
| Authorized Official Credential | PSY.D., LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY ACTION COMMISSION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
28718 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1306048905 | 05 |
| Street Address |
1002 SIERRA MADRE AVE |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-6337 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1235644014 | Robert Joesph Cook | Counselor | 624 W Foster Rd, Santa Maria, CA 93455-3623 | 2017-12-03 |
| 1164934246 | Vanessa Maya Madrigal | Counselor | 212 Carmen Ln Ste 2012nd, Santa Maria, CA 93458-7769 | 2017-10-30 |
| 1366960957 | Rodriguez Fcc | Counselor | 307 Jala Ct, Santa Maria, CA 93454-7904 | 2017-09-02 |
| 1154849743 | Saucedo Fcc | Counselor | 1510 Lark St, Santa Maria, CA 93454-7264 | 2017-09-02 |
| 1891213484 | Garcia Fcc | Counselor | 1036 Gaylene Dr, Santa Maria, CA 93458-1221 | 2017-09-02 |
| 1780102376 | Paz Fcc | Counselor | 1640 Capitola St, Santa Maria, CA 93458-7318 | 2017-09-02 |
| 1497270052 | Cac Tanglewood Center | Counselor | 1890 Sandalwood Dr, Santa Maria, CA 93455-2846 | 2017-08-04 |
| 1679098230 | Cac Westgate Center | Counselor | 1240 Bethel Ln Ste 1a, Santa Maria, CA 93458-8387 | 2017-08-04 |
| 1053835025 | Cac Los Padres Center | Counselor | 530 E Enos Dr, Santa Maria, CA 93454-7287 | 2017-08-01 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on CAC SIERRA MADRE.
| 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.