NPIMap

Organization Active NPI

Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Oceano, CA
National Provider Identifier
1336166248
Registry record updated Jan 23, 2019
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
Practice address
1981 Cienaga St
Oceano, CA 93445-9029
Phone
(805) 270-0025
Fax
(805) 270-0030
NPI assigned
Jul 16, 2006
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Barbara Allen
Title
Business Office Manager
Phone
(805) 361-8014

Specialties & licenses 1

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

Addresses

Primary practice location

1981 Cienaga St
Oceano, CA 93445-9029

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8028

Other names 1

  • Community Health Centers Oceano Other name

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
Practice locations: Santa Maria, CA; Paso Robles, CA; San Luis Obispo, CA; Templeton, CA; Oceano, CA; Arroyo Grande, CA; Atascadero, CA; Cambria, CA…
O20061017000547 CA Part A Provider - Federally Qualified Health Center (FQHC) 7416868120 Practice locations: Oceano, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336166248. Details of each certification follow.

Federally qualified health center certification: CCN 051065

Legal name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Doing business as
COMMUNITY HEALTH CENTERS OCEANO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 22, 2006
Last certification
Nov 22, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 8, 1978 in CA
Enrollment address
1981 Cienaga St
Oceano, CA 93445-9029

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

260 Station Way
Arroyo Grande, CA 93420
Phone (805) 473-6201

260 Station Way
Ste A
Arroyo Grande, CA 93420
Phone (805) 481-3442

7512 Morro Rd
Atascadero, CA 93422
Phone (805) 461-3344

4581 10th St
Ste C
Guadalupe, CA 93434
Phone (805) 343-5577

1300 W Ocean Ave
Lompoc, CA 93436
Phone (805) 737-1169

425 W Central Ave
Ste 203
Lompoc, CA 93436

150 Tejas Pl
Ste 1
Nipomo, CA 93444

2800 Riverside Ave
Paso Robles, CA 93446
Phone (805) 238-7250

416 Spring St
Paso Robles, CA 93446
Phone (805) 228-3000

1551 Bishop St
#160
San Luis Obispo, CA 93401
Phone (805) 269-1500

1551 Bishop St
Bldg B240
San Luis Obispo, CA 93401

1551 Bishop St
Ste A240
San Luis Obispo, CA 93401

116 S Palisade Dr
Santa Maria, CA 93454
Phone (805) 347-9992

201 S Miller St
#E103
Santa Maria, CA 93454

210 S Palisade Dr
Ste 201
Santa Maria, CA 93454
Phone (805) 348-1990

2801 Santa Maria Way
#A
Santa Maria, CA 93455
Phone (805) 938-9200

901 S Broadway
Santa Maria, CA 93454
Phone (805) 614-9275

1330 Las Tablas Rd
Templeton, CA 93465
Phone (805) 443-4103

325 Posada Ln
Ste A
Templeton, CA 93465
Phone (805) 434-1038

21 W Hudson Ave
Englewood, NJ 07631
Phone (201) 567-1516

Ownership & related parties

All disclosed owners & managing parties 5

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 DirectorBoard Member Oct 3, 2006 5%
Linda L Costa Individual Corporate OfficerChief Financial Officer Jan 1, 2014 5%
Ronald E Castle Individual Corporate OfficerChief Executive Officer Nov 1, 2012 15%
Operational/Managerial ControlChief Executive Officer Nov 1, 2012 15%
Barbara a Allen Individual W-2 Managing EmployeeBusiness Office Manager Oct 3, 2006 5%
William Gordon Individual Corporate DirectorBoard of Directors Nov 1, 2012 5%

Practitioners & affiliated clinicians

Practitioners 249

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.

View all 249

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": "1548201600000",
    "number": "1336166248",
    "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": "934587310",
            "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": "1981 CIENAGA ST",
            "city": "OCEANO",
            "state": "CA",
            "postal_code": "934459029",
            "telephone_number": "805-270-0025",
            "fax_number": "805-270-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "805-361-8014"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Centers Oceano",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Community Health Centers Oceano",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oceano, CA

Sources for this page

Verify at the official NPI Registry.