NPIMap

Organization Active NPI

San Luis Obispo County CCS

  • Rehabilitation Clinic/Center
  • Paso Robles, CA
National Provider Identifier
1124100128
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SAN LUIS OBISPO COUNTY CCS
Practice address
2503 Beechwood Dr.
Paso Robles, CA 93446
Phone
(805) 237-3048
Fax
(805) 237-3108
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Ms. Gail Freiler
Title
Supervising Therapist
Phone
(805) 237-3048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2503 Beechwood Dr.
Paso Robles, CA 93446

Mailing address

2503 Beechwood Dr.
Paso Robles, CA 93446
Phone (805) 237-3048

National Provider Directory

National Provider Directory
Tax ID family
San Luis Obispo County CCS7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2503 Beechwood Dr
Paso Robles, CA 93446
Phone (805) 237-3048

Practitioners & affiliated clinicians

Practitioners 2

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1124100128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 BEECHWOOD DR.",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-237-3048",
            "fax_number": "805-237-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 BEECHWOOD DR.",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-237-3048",
            "fax_number": "805-237-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS OBISPO COUNTY CCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "FREILER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "SUPERVISING THERAPIST",
        "authorized_official_telephone_number": "805-237-3048",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2008; 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.