Coast Valley Worship Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COAST VALLEY WORSHIP CENTER

Practice address

1414 S Miller St
Ste 10 and 11
Santa Maria, CA 93454-6923

Phone

(805) 739-1512

Fax

(805) 349-2855

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Edwin Matthew Hamlin, MA

Title

Executive Director

Phone

(805) 739-1512

Specialties & licenses 1

Addresses

Other names 1

• Coast Valley Substance Abuse Treatment Center Doing business as

Locations

Practitioners 3

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

• Teresa Darg

  • Addiction (Substance Use Disorder) Counselor
  • Lompoc, CA
  • NPI 1831540756
  NPD (past)
• Elaine Louise Hernandez

  • Addiction (Substance Use Disorder) Counselor
  • Lompoc, CA
  • NPI 1568975845
  NPD (past)
• Gadi Kabayaho Nepa

  • Addiction (Substance Use Disorder) Counselor
  • Santa Maria, CA
  • NPI 1922681980
  NPD (past)

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1104200773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S MILLER ST",
            "address_2": "STE 10 AND 11",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546923",
            "telephone_number": "805-739-1512",
            "fax_number": "805-349-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S MILLER ST",
            "address_2": "STE 10 AND 11",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546923",
            "telephone_number": "805-739-1512",
            "fax_number": "805-349-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST VALLEY WORSHIP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-739-1512",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Valley Substance Abuse Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coast Family Home Care
• Coast Family Practice
• Coast Family Practice
• Coast Family Practice
• Coast Valley Substance Abuse Treatment Center
• Coast Valley Worship Center
• Coast Valley Worship Center
• Coastal Hand & Occupational Therapy Inc
• Coastal Hand and Occupational Therapy
• Coastal Hand and Occupational Therapy

• Substance Use Disorder Rehabilitation Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.