NPIMap

Organization Active NPI

Central Coast Family Care Medical Associates, Inc

  • Health Service Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1093138604
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC
Practice address
821 E Chapel St Ste 103
Santa Maria, CA 93454-4618
Phone
(805) 925-1009
Fax
(805) 925-1137
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Mrs. Juleen Marie Stimson
Title
Administrator
Phone
(805) 925-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

821 E Chapel St Ste 103
Santa Maria, CA 93454-4618

Mailing address

821 E Chapel St Ste 103
Santa Maria, CA 93454-4618
Phone (805) 925-1009

Other names 1

  • Group NPI Other name

National Provider Directory

National Provider Directory
Tax ID family
Central Coast Family Care Medical Associates Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

821 E Chapel St
Ste 103
Santa Maria, CA 93454
Phone (805) 310-5330

220 S Palisade Dr
Ste 104B
Santa Maria, CA 93454
Phone (805) 925-2521

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1093138604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E CHAPEL ST STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544618",
            "telephone_number": "805-925-1009",
            "fax_number": "805-925-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E CHAPEL ST STE 103",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544618",
            "telephone_number": "805-925-1009",
            "fax_number": "805-925-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "STIMSON",
        "authorized_official_first_name": "JULEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-925-1009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Group NPI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.