NPIMap

Organization Active NPI

CHC

  • Health Maintenance Organization
  • Nipomo, CA
National Provider Identifier
1184028797
Registry record updated Oct 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
63651 Issued in CA
Legal business name
CHC
Practice address
150 Tejas PL
Nipomo, CA 93444-9123
Phone
(805) 929-3254
NPI assigned
Oct 11, 2014
Last updated
Oct 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2014

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

Authorized official

Name
Dr. Malia Johnson, DDSNPI 1679771174
Title
Clinic Director
Phone
(805) 929-3254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 63651 CA Primary

Addresses

Primary practice location

150 Tejas PL
Nipomo, CA 93444-9123

Mailing address

1120 Calle Atapaneo
Nipomo, CA 93444-7807
Phone (805) 801-7883

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1412985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412985600000",
    "number": "1184028797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CALLE ATAPANEO",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934447807",
            "telephone_number": "805-801-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TEJAS PL",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449123",
            "telephone_number": "805-929-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-11",
        "last_updated": "2014-10-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MALIA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "805-929-3254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "63651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nipomo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2014; 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.