Pacific Central Coast Health Centers
Organization Active NPI Community Health Clinic/Center · Santa Maria, CA
NPI 1760861306 · NPPES record last updated Nov 16, 2025
Key facts
- NPI
- 1760861306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- PACIFIC CENTRAL COAST HEALTH CENTERS
- Practice address
- 5075 S Bradley Rd
Suite 131
Santa Maria, CA 93455-5077 - Phone
- (805) 717-6731
- Fax
- (805) 346-3535
- NPI assigned
- May 28, 2015
- 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
Practitioners 7
-
Elizabeth Evans, N.P.
-
Ragesh Panikkath, MD
-
Vivian Storrer, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2102131 | Orcutt Family Health Center | Certificate of waiver | Sep 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031103000443 | CA | Part B Supplier - Clinic/Group Practice | 9739091364 |
Receives reassigned benefits from 305 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Pacific Central Coast Health Centers
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Yes |
Addresses
Primary practice location
5075 S Bradley Rd
Suite 131
Santa Maria, CA 93455-5077
Mailing address
1414 E Main St Ste 201
Santa Maria, CA 93454-4890
Phone (805) 994-5485
Other names
- Orcutt Family Health Center
NPI Registry JSON
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763251200000",
"number": "1760861306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 E MAIN ST STE 201",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544890",
"telephone_number": "805-994-5485",
"fax_number": "805-614-5956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 S BRADLEY RD",
"address_2": "SUITE 131",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934555077",
"telephone_number": "805-717-6731",
"fax_number": "805-346-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
"enumeration_date": "2015-05-28",
"last_updated": "2025-11-16",
"certification_date": "2025-11-16",
"status": "A",
"authorized_official_last_name": "MERLO",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "805-739-3853"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orcutt Family Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Orcutt Family Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Maria, CA
- Pacific Central Coast Health Centers
- Pacific Central Coast Health Centers
- Pacific Central Coast Health Centers
- Pacific Central Coast Health Centers
- Pacific Central Coast Health Centers
- Pacific Central Coast Health Centers
- Pacific Central Coast Health Centers
- Pacific Central Coast Health Centers
- Pacific Central Coast Health Centers
- Pacific Central Coast Health Centers
All providers in Santa Maria, CA · Community Health Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.