NPIMap

Organization Active NPI

Coast Valley Worship Center

Doing business as Coast Valley Substance Abuse Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Lompoc, CA
National Provider Identifier
1598217416
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COAST VALLEY WORSHIP CENTER
Doing business as
Coast Valley Substance Abuse Treatment Center
Practice address
300 W Willow Ave
Lompoc, CA 93436-7724
Phone
(805) 735-7525
Fax
(805) 737-0524
NPI assigned
Oct 26, 2016
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Matthew Hamlin, MA
Title
Executive Director
Phone
(805) 739-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

300 W Willow Ave
Lompoc, CA 93436-7724

Mailing address

1414 S Miller St
Ste 10 and 11
Santa Maria, CA 93454-6923
Phone (805) 739-1512

Other names 1

  • Coast Valley Substance Abuse Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coast Valley Substance Abuse Treatment Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1414 S Miller St
Ste 10
Santa Maria, CA 93454
Phone (805) 735-7525

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1598217416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S MILLER ST",
            "address_2": "STE 10 AND 11",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546923",
            "telephone_number": "805-739-1512",
            "fax_number": "805-349-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WILLOW AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367724",
            "telephone_number": "805-735-7525",
            "fax_number": "805-737-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST VALLEY WORSHIP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-739-1512",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Valley Substance Abuse Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.