Pacific Central Coast Health Centers

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

PACIFIC CENTRAL COAST HEALTH CENTERS

Doing business as

Marian Perinatal Center

Practice address

220 S Palisade Dr
Suite 201
Santa Maria, CA 93454-8902

Phone

(805) 739-3280

Fax

(805) 739-3380

NPI assigned

Sep 24, 2012

Organization subpart

Yes

Parent organization

PACIFIC CENTRAL COAST HEALTH CENTERSAs reported in NPPES

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

Authorized official

Name

Matthew Richardson

Title

Chief Financial Officer

Phone

(805) 739-3108

Specialties & licenses 1

Addresses

Other names 1

• Marian Perinatal Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Pacific Central Coast Health Centers

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1205187804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR",
            "address_2": "SUITE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548902",
            "telephone_number": "805-739-3280",
            "fax_number": "805-739-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR",
            "address_2": "SUITE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548902",
            "telephone_number": "805-739-3280",
            "fax_number": "805-739-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "enumeration_date": "2012-09-24",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "805-739-3108"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marian Perinatal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marian Perinatal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irania Pacheco
• Ruby Esmeralda Pacheco
• Pacific Arthritis Center Medical Group
• Pacific Central Coast Health Centers (Med Plus Central Coast)
• Pacific Central Coast Health Centers (Marian Community Clinic)
• Pacific Central Coast Health Centers (Coastal Valley Health Center)
• Pacific Central Coast Health Centers (Mission Hope Health Center)
• Pacific Central Coast Health Centers (ENT & Allergy Health Center)
• Pacific Central Coast Health Centers (Center For Women's Health)
• Pacific Central Coast Health Centers (Med Plus Orcutt)

• Community Health Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.

Verify at the official NPI Registry.