NPIMap

Organization Active NPI

Lumina Alliance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Luis Obispo, CA
National Provider Identifier
1033761358
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LUMINA ALLIANCE
Practice address
51 Zaca LN Ste 150
San Luis Obispo, CA 93401-7319
Phone
(805) 781-6401
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Karen K. Borges
Title
Chief Operating Officer
Phone
(805) 720-3312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

51 Zaca LN Ste 150
San Luis Obispo, CA 93401-7319

Mailing address

PO Box 125
San Luis Obispo, CA 93406-0125
Phone (805) 781-6401

Other practice location 1

555 S 13th St
Grover Beach, CA 93433-2866
Phone (805) 781-6401

Other names 1

  • Women's Shelter Program of San Luis Obispo DBA Stand Strong Former legal business name

National Provider Directory

National Provider Directory

Locations

555 S 13th St
Grover Beach, CA 93433
Phone (805) 781-6401

51 Zaca Ln
Ste 150
San Luis Obispo, CA 93401
Phone (805) 781-6400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1033761358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934060125",
            "telephone_number": "805-781-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ZACA LN STE 150",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017319",
            "telephone_number": "805-781-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S 13th St",
            "address_purpose": "LOCATION",
            "city": "Grover Beach",
            "state": "CA",
            "postal_code": "934332866",
            "country_code": "US",
            "telephone_number": "805-781-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUMINA ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "BORGES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "805-720-3312"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Shelter Program of San Luis Obispo DBA Stand Strong",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.