Organization Active NPI

Planned Parenthood California Central Coast

  • Community Health Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1700803285
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
050000206 Issued in CA
Legal business name
PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
Practice address
743 Pismo Street
San Luis Obispo, CA 93401
Phone
(805) 963-2445
Fax
(805) 965-2292
NPI assigned
Jul 17, 2006
Last updated
Aug 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Jenna Tosh
Title
President/Ceo
Phone
(805) 963-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 050000206 CA Primary

Addresses

Primary practice location

743 Pismo Street
San Luis Obispo, CA 93401

Mailing address

518 Garden Street
Santa Barbara, CA 93101
Phone (805) 963-2445

Other identifiers 1

IdentifierTypeStateIssuer
CMM70373FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050901000414 CA Part B Supplier - Clinic/Group Practice 0244262095 Receives reassigned benefits from 3 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ventura, CA; Oxnard, CA; Santa Maria, CA; San Luis Obispo, CA; Santa Barbara, CA; Newbury Park, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

415 E Chapel St
Santa Maria, CA 93454
Phone (805) 922-8317

Practitioners & affiliated clinicians

Practitioners 3

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1700803285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 GARDEN STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-963-2445",
            "fax_number": "805-965-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 PISMO STREET",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-963-2445",
            "fax_number": "805-965-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "TOSH",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-963-2445"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "050000206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70373F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.