NPIMap

Organization Active NPI

Cac Buena Vista Center

  • Mental Health Counselor
  • Santa Maria, CA
National Provider Identifier
1619491685
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
28718 Issued in CA
Legal business name
CAC BUENA VISTA CENTER
Practice address
400 W Park Ave
Santa Maria, CA 93458-6116
Phone
(805) 922-1439
Fax
(805) 925-5169
NPI assigned
Aug 1, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY ACTION COMMISSIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Laurel Scott, PSY.D., LMFT
Title
Clinical Services Director
Phone
(805) 260-4676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 28718 CA Primary

Addresses

Primary practice location

400 W Park Ave
Santa Maria, CA 93458-6116

Mailing address

400 W Park Ave
Santa Maria, CA 93458-6116
Phone (805) 922-1439

Other identifiers 1

IdentifierTypeStateIssuer
1306048905MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Cac Adam Center39 organizations share this tax ID, including this one
Part of
Cac Adam Center

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619491685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PARK AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934586116",
            "telephone_number": "805-922-1439",
            "fax_number": "805-925-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W PARK AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934586116",
            "telephone_number": "805-922-1439",
            "fax_number": "805-925-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAC BUENA VISTA CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ACTION COMMISSION",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAUREL",
        "authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "805-260-4676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "28718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306048905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.