DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC

MEDICARE: COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/CenterPHY46798CA
2261QC1500XCommunity Health Clinic/CenterCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2PHY46798OTHERCASTATE RX LICENSE NUMBER
35613624OTHERCANCPDP NUMBER

General Provider Information

NPI Number : 1952390254
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC
Provider Business Mailing Address
First Line : 2050 S BLOSSER RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93458-7310
Country : US
Telephone Number : 805-361-8014
Fax Number : 805-361-8097
Provider Business Practice Location Address
First Line : 150 TEJAS PL
Second Line :
City : NIPOMO
State : CA
Zip : 93444-9123
Country : US
Telephone Number : 805-270-1807
Fax Number : 805-270-1820
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : BARBARA A ALLEN
Credential :
Telephone Number : 805-361-8014
Provider Enumeration Date : 10/19/2005
Last Update Date : 03/07/2023

Similar Medicare Providers

1548299308 — ALEXANDER M AUSTRIA MD
Practice Location Address:
150 TEJAS PL
NIPOMO, CA
93444-9123
Practice Phone: 805-929-3211
Practice Fax: 805-929-6440
1205865151 — EMILIA AMBROSIO MD
Practice Location Address:
150 TEJAS PL
NIPOMO, CA
93444-9123
Practice Phone: 805-929-3211
Practice Fax: 805-929-6440
1871524017 — DR. UZMA KHALID CHAUDHRY M.D.
Practice Location Address:
150 TEJAS PL
NIPOMO, CA
93444-9123
Practice Phone: 805-929-3211
Practice Fax: 805-929-6359
1053343046 — MR. DONALD EDWARD CASEBOLT NURSE PRACTITIONER
Practice Location Address:
150 TEJAS PL
NIPOMO, CA
93444-9123
Practice Phone: 805-929-3211
Practice Fax:
1750314209 — VARTAN TACHDJIAN MD
Practice Location Address:
150 TEJAS PL
NIPOMO, CA
93444-9123
Practice Phone: 805-929-3211
Practice Fax: 805-929-6440
1629002670 — KELVIN ZIA
Practice Location Address:
150 TEJAS PL
NIPOMO, CA
93444-9123
Practice Phone: 805-938-0935
Practice Fax:

Directions to “COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.