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Pacific Central Coast Health Centers

Organization Active NPI Community Health Clinic/Center · Santa Maria, CA

NPI 1760723910 · NPPES record last updated Nov 1, 2025

Key facts

NPI
1760723910
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Clinic/Center 261QC1500X
Legal business name
PACIFIC CENTRAL COAST HEALTH CENTERS
Practice address
235 S Palisade Dr
Santa Maria, CA 93454
Phone
(805) 739-3561
Fax
(805) 739-3560
NPI assigned
Mar 13, 2013
Organization subpart
Yes
Parent organization (as reported)
PACIFIC CENTRAL COAST HEALTH CENTERS

Authorized official

Name
Brandon Merlo
Title
Chief Financial Officer
Phone
(805) 739-3853

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 34

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

View all 34

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 247

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 247

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2060639Family Medicine Center
235 South Palisade Drive, Santa Maria, CA 93454		Provider-performed microscopyJun 13, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031103000443 CA Part B Supplier - Clinic/Group Practice 9739091364 Receives reassigned benefits from 305 practitioners
This NPI is an additional NPI on the enrollment
O20251210004082 CA DME Supplier - Physician - Preventive Medicine 9739091364 Practice locations: Santa Maria, CA

National Provider Directory

Tax ID family
Pacific Central Coast Health Centers (36 organizations share this tax ID)
Part of
Pacific Central Coast Health Centers

Locations

217 W Central Ave
Ste G
Lompoc, CA 93436
Phone (805) 735-4292

4460 Broad St
Ste A
San Luis Obispo, CA 93401
Phone (805) 597-6715

1325 E Church St
Ste 202
Santa Maria, CA 93454
Phone (805) 346-3456

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Yes

Addresses

Primary practice location

235 S Palisade Dr
Santa Maria, CA 93454

Mailing address

1414 E Main St Ste 201
Santa Maria, CA 93454-4890
Phone (805) 994-5485

Other names

  • Family Medicine Center Doing business as

Other providers in Santa Maria, CA

All providers in Santa Maria, CA · Community Health Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.