San Luis Obispo Public Health Agency

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SAN LUIS OBISPO PUBLIC HEALTH AGENCY

Practice address

286 S 16TH St
Grover Beach, CA 93433-2245

Phone

(805) 473-7039

NPI assigned

Aug 23, 2007

Last updated

Aug 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal L Davis, RNNPI 1811178007

Title

Public Health Nurse

Phone

(805) 473-7039

Specialties & licenses 1

Addresses

Locations

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.

• Crystal Leann Davis, R.N.

  • Case Manager/Care Coordinator
  • Grover Beach, CA
  • NPI 1811178007
  Authorized official Same address or phone

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1447443312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 S 16TH ST",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332245",
            "telephone_number": "805-473-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 S 16TH ST",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332245",
            "telephone_number": "805-473-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS OBISPO PUBLIC HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PUBLIC HEALTH NURSE",
        "authorized_official_telephone_number": "805-473-7039",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie L. (Linda) Rodgers, LMFT
• Gregorio Rodriguez Jr., PHARM D.
• Jade Chantal Romain, CCC-SLP
• Ashley Nicole Romano, M.S. OTR/L
• Sandra Gail Rutstein, OTR,L
• San Luis Obispo Select
• Solange Santos Virgen
• Patricia Sceales, RN
• Robin Schelling, BCBA
• Danielle Schnelby

• Case Management Agency in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.