Healthcare Provider Details

I. General information

NPI: 1003908484
Provider Name (Legal Business Name): BIG SUR HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46896 HIGHWAY 1
BIG SUR CA
93920-9693
US

IV. Provider business mailing address

46896 HIGHWAY 1
BIG SUR CA
93920-9693
US

V. Phone/Fax

Practice location:
  • Phone: 831-667-2580
  • Fax: 831-667-0184
Mailing address:
  • Phone: 831-667-2580
  • Fax: 831-667-0184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number070000483
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHIE LESTER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 831-667-2580