Active NPI
Central Coast Treatment Centers
- Community/Behavioral Health Agency
- Santa Maria, CA
National Provider Identifier
1629396569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CENTRAL COAST TREATMENT CENTERS
- Practice address
- 1880 Sequoia Dr
Santa Maria, CA 93454-7646 - Phone
- (805) 349-1017
- NPI assigned
- May 15, 2010
- Last updated
- May 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Gregg Goodwin, MA, MFT INTERN #4680
- Title
- Vice President & Cfo
- Phone
- (805) 349-1017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1880 Sequoia Dr
Santa Maria, CA 93454-7646
Mailing address
1880 Sequoia Dr
Santa Maria, CA 93454-7646
Phone (805) 349-1017
National Provider Directory
National Provider Directory- Tax ID family
- Central Coast Treatment Centers
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Santa Maria, CA
- NPI 1144605288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273881600000",
"number": "1629396569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 SEQUOIA DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547646",
"telephone_number": "805-349-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 SEQUOIA DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547646",
"telephone_number": "805-349-1017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL COAST TREATMENT CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-15",
"last_updated": "2010-05-15",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "GREGG",
"authorized_official_title_or_position": "VICE PRESIDENT & CFO",
"authorized_official_telephone_number": "805-349-1017",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, MFT INTERN #4680"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
- Central Coast Obstetrics and Gynecology
- Central Coast Orthopedic Medical Group
- Central Coast Otolaryngology
- Central Coast Otolaryngology (Sleep Disorders Center of Santa Maria)
- Central Coast Portable Imaging Inc
- Central Coast Trstment Center
- Central Coast Urgent Care Medical Group
- Cep America - California
- Cep America - Psychiatry PC
- Joshua Cervantes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.