NPIMap

Organization Active NPI

Community Health Centers of the Central Coast, Inc

Doing business as Community Health Centers Templeton

  • Federally Qualified Health Center (FQHC)
  • Templeton, CA
National Provider Identifier
1275550295
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC
Doing business as
Community Health Centers Templeton
Practice address
1330 Las Tablas Rd Ste a
Templeton, CA 93465-9758
Phone
(805) 434-1038
Fax
(805) 434-1659
NPI assigned
Jul 16, 2006
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Ronald E Castle
Title
Chief Executive Officer
Phone
(805) 929-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1330 Las Tablas Rd Ste a
Templeton, CA 93465-9758

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8028

Other identifiers 4

IdentifierTypeStateIssuer
BCP70936FOtherCANCER DETECTION PROGRAM
FHC70936FMedicaidCA
ZZZ08362ZOtherCABLUE SHIELD OF CA
HAP70936FOtherCAFAMILY PLANNING

Other names 1

  • Community Health Centers Templeton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040115001161 CA Part B Supplier - Clinic/Group Practice 7416868120 Receives reassigned benefits from 236 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Maria, CA; Paso Robles, CA; San Luis Obispo, CA; Templeton, CA; Oceano, CA; Arroyo Grande, CA; Atascadero, CA; Cambria, CA…
O20110610000068 CA Part A Provider - Federally Qualified Health Center (FQHC) 7416868120 Practice locations: Templeton, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275550295. Details of each certification follow.

Federally qualified health center certification: CCN 551907

Legal name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 10, 2002
Last certification
Jul 10, 2002
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 8, 1978 in CA
Enrollment address
1330 Las Tablas Rd
Templeton, CA 93465-9758

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

National Provider Directory

National Provider Directory

Locations

1330 Las Tablas Rd
Ste A
Templeton, CA 93465
Phone (805) 434-1038

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bertha Campos Individual Corporate Director Feb 1, 2011
Ronald E Castle Individual Corporate OfficerChief Executive Officer Jul 1, 2011 10%
W-2 Managing EmployeeChief Executive Officer Feb 1, 2011
Barbara a Allen Individual W-2 Managing Employee Feb 1, 2011 5%

Practitioners & affiliated clinicians

Practitioners 5

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1275550295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S BLOSSER RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93458",
            "telephone_number": "805-361-8028",
            "fax_number": "805-361-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LAS TABLAS RD STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659758",
            "telephone_number": "805-434-1038",
            "fax_number": "805-434-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "805-929-3211"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CANCER DETECTION PROGRAM",
            "identifier": "BCP70936F",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70936F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ08362Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PLANNING",
            "identifier": "HAP70936F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Centers Templeton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Centers Templeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.