Healthcare Provider Details

I. General information

NPI: 1962247668
Provider Name (Legal Business Name): PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 EAST CHAPEL STREET
SANTA MARIA CA
93454-4519
US

IV. Provider business mailing address

518 GARDEN STREET
SANTA BARBARA CA
93101-1606
US

V. Phone/Fax

Practice location:
  • Phone: 805-922-2857
  • Fax: 805-928-7671
Mailing address:
  • Phone: 805-963-2445
  • Fax: 805-965-2292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA ROBLES
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 805-722-1512