Pacific Central Coast Health Centers

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

PACIFIC CENTRAL COAST HEALTH CENTERS

Doing business as

ENT & Allergy Health Center

Practice address

206 S Stratford Ave
Suite B
Santa Maria, CA 93454-5901

Phone

(805) 474-5807

Fax

(805) 474-5808

NPI assigned

Nov 17, 2015

Last updated

Nov 12, 2018By the provider in NPPES

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

• ENT & Allergy Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Pacific Central Coast HLTH

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.

• Steven B Goodman, MD

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1295775328
  NPD

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1265806020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W BUNNY AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934582805",
            "telephone_number": "805-739-3474",
            "fax_number": "805-614-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S STRATFORD AVE",
            "address_2": "SUITE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545901",
            "telephone_number": "805-474-5807",
            "fax_number": "805-474-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "enumeration_date": "2015-11-17",
        "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": "ENT & Allergy Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENT & Allergy Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Central Coast Health Centers (Med Plus Central Coast)
• Pacific Central Coast Health Centers (Marian Community Clinic)
• Pacific Central Coast Health Centers (Marian Perinatal Center)
• Pacific Central Coast Health Centers (Coastal Valley Health Center)
• Pacific Central Coast Health Centers (Mission Hope Health Center)
• Pacific Central Coast Health Centers (Center For Women's Health)
• Pacific Central Coast Health Centers (Med Plus Orcutt)
• Pacific Central Coast Health Centers (Mission Hope Medical Oncology - Santa Maria)
• Pacific Central Coast Health Centers (Dignity Health Surgical Specialty Center)
• Pacific Central Coast Health Centers (Family Medicine Center)

• 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.