San Luis Obispo County Probation Department

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

251B00000X Issued in CA

Legal business name

SAN LUIS OBISPO COUNTY PROBATION DEPARTMENT

Practice address

1276 Johnson Ave
San Luis Obispo, CA 93408-0001

Phone

(805) 781-5369

Fax

(805) 781-1231

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Watson P GoochNPI 1013171990

Title

Dpo II

Phone

(808) 781-5369

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Watson Payne Gooch

  • Social Worker
  • San Luis Obispo, CA
  • NPI 1013171990
  NPD (past) Authorized official

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1184893554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934080001",
            "telephone_number": "805-781-5369",
            "fax_number": "805-781-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934080001",
            "telephone_number": "805-781-5369",
            "fax_number": "805-781-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS OBISPO COUNTY PROBATION DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "GOOCH",
        "authorized_official_first_name": "WATSON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DPO II",
        "authorized_official_telephone_number": "808-781-5369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "251B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Luis Obispo County Drug & Alcohol
• San Luis Obispo County Mental Health
• San Luis Obispo County Office of Education
• San Luis Obispo County Office of Education - SCS Loma Vista
• San Luis Obispo County Office of Education - SCS Vicente
• San Luis Obispo Eye Associates, a Medical Group Inc.
• San Luis Obispo Eye Associates, a Medical Group Incorporated
• San Luis Obispo Family Healthcare a Medical Corporation
• San Luis Obispo Health Facility
• San Luis Obispo Hearing Center Inc.

• All providers in San Luis Obispo, CA
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.