Active NPI
Pacific Central Coast Health Centers
Doing business as Camarillo Specialty Center
- Community Health Clinic/Center
- Camarillo, CA
National Provider Identifier
1093410573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- PACIFIC CENTRAL COAST HEALTH CENTERS
- Doing business as
- Camarillo Specialty Center
- Practice address
- 2486 N Ponderosa Dr Ste D205
Camarillo, CA 93010-2471 - Phone
- (805) 988-7196
- Fax
- (805) 988-7197
- NPI assigned
- Apr 3, 2023
- Last updated
- Oct 19, 2025
- Organization subpart
- Yes
- Parent organization
- PACIFIC CENTRAL COAST HEALTH CENTERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Merlo
- Title
- Chief Financial Officer
- Phone
- (805) 739-3853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | NU | Primary |
Addresses
Primary practice location
2486 N Ponderosa Dr Ste D205
Camarillo, CA 93010-2471
Mailing address
1414 E Main St Ste 201
Santa Maria, CA 93454-4890
Phone (805) 994-5485
Other names 1
- Camarillo Specialty Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000443 | CA | Part B Supplier - Clinic/Group Practice | 9739091364 |
Receives reassigned benefits from 305 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Pacific Central Coast Health Centers
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Acute Care Nurse Practitioner
- San Luis Obispo, CA
- NPI 1306498464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760832000000",
"number": "1093410573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 E MAIN ST STE 201",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544890",
"telephone_number": "805-994-5485",
"fax_number": "805-614-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2486 N PONDEROSA DR STE D205",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930102471",
"telephone_number": "805-988-7196",
"fax_number": "805-988-7197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
"enumeration_date": "2023-04-03",
"last_updated": "2025-10-19",
"certification_date": "2025-10-19",
"status": "A",
"authorized_official_last_name": "MERLO",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "805-739-3853"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Camarillo Specialty Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Camarillo, CA
- Oxnard Camarillo Anesthesiology Medical Group
- Christina Pabers, MA TCM LAC, PHD
- Geraldine Gonzalez Pablo, RPT
- William Michael Pace, MD
- Onyx Onasin Pacheco
- Pacific Central Coast Health Centers (St. John's Cancer Care)
- Pacific Central Coast Health Centers (St. John's Cancer Care - Camarillo)
- Pacific Coast Congregate, LLC.
- Pacifica Dermatology (Pacifica Center for Dermatology)
- Pacifica Institute of Cosmetic & Reconstructive Surgery Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.