NPIMap

Organization Active NPI

Central Coast Behavioral Health, Inc.

  • Psychiatry Physician
  • Arroyo Grande, CA
National Provider Identifier
1699112698
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C52093 Issued in CA
Legal business name
CENTRAL COAST BEHAVIORAL HEALTH, INC.
Practice address
536 Camino Mercado
Arroyo Grande, CA 93420-1814
Phone
(805) 540-0279
Fax
(805) 439-1070
NPI assigned
May 30, 2013
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Jose Feliberti, MDNPI 1477948677
Title
Medical Director
Phone
(805) 540-0279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 19126 CA
Marriage & Family Therapist 106H00000X 53324 CA
Psychiatry Physician 2084P0800X C52093 CA Primary

Addresses

Primary practice location

536 Camino Mercado
Arroyo Grande, CA 93420-1814

Mailing address

536 Camino Mercado
Arroyo Grande, CA 93420-1814
Phone (805) 540-0279

Other practice location 1

7067 N Mariposa St Ste 103
Fresno, CA 93720-2988
Phone (805) 540-0279

Other names 1

  • Pedro D. Guimaraes, M.D. Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250228000963 CA Part B Supplier - Clinic/Group Practice 6204356660 Receives reassigned benefits from 17 practitioners
Practice locations: El Cajon, CA; Fresno, CA; Palm Desert, CA; Arroyo Grande, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2105018Central Coast Behavioral Health, Inc.536 Camino Mercado, Arroyo Grande, CA 93420Certificate of waiverNov 16, 2027
05D2301050Central Coast Behavioral Health7067 North Mariposa Suite 103, Fresno, CA 93720Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory

Locations

353 E Park Ave
El Cajon, CA 92020
Phone (323) 893-5844

7067 N Mariposa St
Ste 103
Fresno, CA 93720
Phone (559) 380-4304

74075 El Paseo
Ste A16
Palm Desert, CA 92260

1035 Peach St
Ste 201
San Luis Obispo, CA 93401

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1699112698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 CAMINO MERCADO",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201814",
            "telephone_number": "805-540-0279",
            "fax_number": "805-439-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 CAMINO MERCADO",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201814",
            "telephone_number": "805-540-0279",
            "fax_number": "805-439-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7067 N Mariposa St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202988",
            "country_code": "US",
            "telephone_number": "805-540-0279",
            "fax_number": "805-439-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL COAST BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2025-09-02",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "FELIBERTI",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-540-0279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "19126",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53324",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C52093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pedro D. Guimaraes, M.D. Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.