PACIFIC CENTRAL COAST HEALTH CENTERS NPI 1508237629

NPI Information

  • NPI: 1508237629
  • Provider Name: PACIFIC CENTRAL COAST HEALTH CENTERS
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Doing Business As: NIPOMO HEALTH CENTER
  • CLIA Number: 05D2107198
  • Address: 697 W TEFFT ST
    NIPOMO, CA
    ZIP 93444
  • Phone: (805) 929-2272

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NPI Details

PACIFIC CENTRAL COAST HEALTH CENTERS is a community health clinic center in Nipomo, CA. PACIFIC CENTRAL COAST HEALTH CENTERS NPI is 1508237629. The provider is registered as an organization entity type.
The provider Is Doing Business As Nipomo Health Center.

The provider's business location address is:

697 W TEFFT ST
NIPOMO, CA
ZIP 93444-190
Phone: (805) 929-2272
Fax: (805) 929-6405

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 CLIA number assigned to this NPI record is 05D2107198 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/15/2015 and was last updated on 11/12/2018.

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
1261QC1500XClinic/CenterCommunity HealthYes

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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