Active NPI
Calista R Koska
- Social Worker
- Santa Maria, CA
National Provider Identifier
1790435774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 135154
- Practice address
- 2023 S Broadway
Ste B PMB 1013
Santa Maria, CA 93454 - Phone
- (805) 380-5552
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 135154 | CA | Primary |
Addresses
Primary practice location
2023 S Broadway
Ste B PMB 1013
Santa Maria, CA 93454
Mailing address
2023 S Broadway
Ste B PMB 1013
Santa Maria, CA 93454
Phone (805) 380-5552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777766400000",
"number": "1790435774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 S BROADWAY",
"address_2": "STE B PMB 1013",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-380-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 S BROADWAY",
"address_2": "STE B PMB 1013",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-380-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSKA",
"first_name": "CALISTA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2026-05-03",
"certification_date": "2026-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "135154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.