Organization Active NPI

Slo County Drug & Alcohol Services

  • Community/Behavioral Health Agency
  • Grover Beach, CA
National Provider Identifier
1275848988
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SLO COUNTY DRUG & ALCOHOL SERVICES
Practice address
1523 Longbranch Ave
Grover Beach, CA 93433-2508
Phone
(805) 473-7080
Fax
(805) 473-7188
NPI assigned
Aug 18, 2010
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Mr. Reuben Rodriguez, RI-R1002251233
Title
Specialist 1
Phone
(805) 473-7146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1523 Longbranch Ave
Grover Beach, CA 93433-2508

Mailing address

1523 Longbranch Ave
Grover Beach, CA 93433-2508
Phone (805) 473-7080

Other names 1

  • behavioral health service Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1275848988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 LONGBRANCH AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332508",
            "telephone_number": "805-473-7080",
            "fax_number": "805-473-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 LONGBRANCH AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332508",
            "telephone_number": "805-473-7080",
            "fax_number": "805-473-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLO COUNTY DRUG & ALCOHOL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "SPECIALIST 1",
        "authorized_official_telephone_number": "805-473-7146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RI-R1002251233"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "behavioral health service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grover Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.