NPIMap

Organization Active NPI

Partnership for the Children of San Luis Obispo Co

Doing business as Tolosa Childrens Dental Center

  • Pediatric Dentistry
  • Paso Robles, CA
National Provider Identifier
1033214283
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PARTNERSHIP FOR THE CHILDREN OF SAN LUIS OBISPO CO
Doing business as
Tolosa Childrens Dental Center
Practice address
717 Walnut Drive
Paso Robles, CA 93446-2315
Phone
(805) 238-5334
Fax
(805) 238-6470
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Dr. Jon E. Hollister, D.D.SNPI 1528102407
Title
President
Phone
(805) 543-6963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

717 Walnut Drive
Paso Robles, CA 93446-2315

Mailing address

717 Walnut Drive
Paso Robles, CA 93446-2315
Phone (805) 238-5334

Other identifiers 1

IdentifierTypeStateIssuer
4192751GMedicaidCA

Other names 1

  • Tolosa Childrens Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tolosa Childrens Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

717 Walnut Dr
Paso Robles, CA 93446
Phone (805) 238-5334

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1033214283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 WALNUT DRIVE",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462315",
            "telephone_number": "805-238-5334",
            "fax_number": "805-238-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 WALNUT DRIVE",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462315",
            "telephone_number": "805-238-5334",
            "fax_number": "805-238-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERSHIP FOR THE CHILDREN OF SAN LUIS OBISPO CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "HOLLISTER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-543-6963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4192751G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tolosa Childrens Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.