PACIFIC CENTRAL COAST HEALTH CENTERS NPI 1063496651

NPI Information

NPI: 1063496651
Provider Name: PACIFIC CENTRAL COAST HEALTH CENTERS
Classification: Clinic/Center - 261QC1500X
Specialization: Community Health
Entity Type: Organization
Doing Business As: MARIAN COMMUNITY CLINIC
Address: 1745 N BROADWAY STE 101
SANTA MARIA, CA
ZIP 93454
Phone: (805) 739-3890

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NPI Details

PACIFIC CENTRAL COAST HEALTH CENTERS is a community health clinic center in Santa Maria, CA. PACIFIC CENTRAL COAST HEALTH CENTERS NPI is 1063496651. The provider is registered as an organization entity type.
The provider Is Doing Business As Marian Community Clinic.

The provider's business location address is:

1745 N BROADWAY STE 101
SANTA MARIA, CA
ZIP 93454-940
Phone: (805) 739-3890
Fax: (805) 347-7697

The provider's authorized official is Matthew Richardson .
The authorized official title is Chief Financial Officer and has the following contact phone number (805) 739-3108.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 4/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CMM70597G	MEDICAID	CALIFORNIA
2	CMM70597O	MEDICAID	CALIFORNIA
3	EAP03882G	MEDICAID	CALIFORNIA
4	ZZZ06481Z	OTHER		BLUE SHIELD OF CA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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