E-Eshora CCC, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CCS #15096 Issued in CA

Legal business name

E-ESHORA CCC, INC.

Practice address

601 E Ocean Ave
Suite 20
Lompoc, CA 93436-6937

Phone

(805) 743-1515

Fax

(805) 819-0942

NPI assigned

Feb 20, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Linda J. Neutz, MA CATC IV/CCS 15096NPI 1760686489

Title

Chief Executive Officer (Ceo)

Phone

(805) 743-1515

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Jean Neutz, MA CATC IV/CCS 15096

  • Addiction (Substance Use Disorder) Counselor
  • Lompoc, CA
  • NPI 1760686489
  NPD (past) Authorized official

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1457743957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 MARIGOLD WAY",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934368204",
            "telephone_number": "805-743-1515",
            "fax_number": "805-819-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E OCEAN AVE",
            "address_2": "SUITE 20",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366937",
            "telephone_number": "805-743-1515",
            "fax_number": "805-819-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-ESHORA CCC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "NEUTZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "805-743-1515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CATC IV/CCS 15096"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "CCS #15096",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF SANTA BARBARA ALCOHOL/DRUG & MENTAL HEALTH SERVICES MEDI-CAL PROVIDER",
            "identifier": "1760686489",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Duarte
• Dane Dudley, DDS
• John Thomas Dunn
• Kathleen Mary Dupont, PA-C
• Nichole E Duran, SUDRC# 17835
• Edward M. Mikowicz D.D.S., Inc.
• Dale Ethan Ekstrum, MD
• David S Elam, MA CCC SLP
• Nancy Revelli Elam, MA CCC SLP
• Elite Eyecare Medical Group a Medical Corporation

• Community/Behavioral Health Agency in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.