NPIMap

Organization Active NPI

San Luis Obispo County CCS

  • Rehabilitation Clinic/Center
  • Oceano, CA
National Provider Identifier
1013007897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SAN LUIS OBISPO COUNTY CCS
Practice address
1510 19TH St
Oceano, CA 93445-9301
Phone
(805) 473-7137
Fax
(805) 473-7118
NPI assigned
Oct 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gail Freiler
Title
Supervising Therapist
Phone
(805) 226-3270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

1510 19TH St
Oceano, CA 93445-9301

Mailing address

1510 19TH St
Oceano, CA 93445-9301
Phone (805) 473-7137

Other names 1

  • Oceano Medical Therapy Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
San Luis Obispo County CCS7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1510 19th St
Oceano, CA 93445
Phone (805) 473-7137

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013007897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 19TH ST",
            "city": "OCEANO",
            "state": "CA",
            "postal_code": "934459301",
            "telephone_number": "805-473-7137",
            "fax_number": "805-473-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 19TH ST",
            "city": "OCEANO",
            "state": "CA",
            "postal_code": "934459301",
            "telephone_number": "805-473-7137",
            "fax_number": "805-473-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS OBISPO COUNTY CCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREILER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "SUPERVISING THERAPIST",
        "authorized_official_telephone_number": "805-226-3270",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceano Medical Therapy Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oceano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.