NPIMap

Organization Active NPI

Pacific Central Coast Health Centers

Doing business as Fair Oaks Specialty Center

  • Community Health Clinic/Center
  • Arroyo Grande, CA
National Provider Identifier
1831764117
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
PACIFIC CENTRAL COAST HEALTH CENTERS
Doing business as
Fair Oaks Specialty Center
Practice address
850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone
(805) 547-2224
Fax
(805) 474-5276
NPI assigned
May 20, 2021
Last updated
Nov 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PACIFIC CENTRAL COAST HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929

Mailing address

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

Other names 1

  • Fair Oaks Specialty Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

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
O20260310002278 CA DME Supplier - Multi-Specialty - Physician 9739091364 Practice locations: Arroyo Grande, CA

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Pacific Central Coast Health Centers37 organizations share this tax ID, including this one
Part of
Pacific Central Coast Health Centers

Other organizations with this tax ID 36

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

View all 36

Member of 1

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

Locations

200 Station Way
Ste C
Arroyo Grande, CA 93420
Phone (805) 473-0700

310 S Halcyon Rd
Ste 106
Arroyo Grande, CA 93420
Phone (805) 474-5807

3807 Union Ave
#B
Bakersfield, CA 93305
Phone (661) 324-2423

685 Morro Ave
Ste D
Morro Bay, CA 93442
Phone (805) 772-7313

685 Morro Ave
Ste E
Morro Bay, CA 93442
Phone (805) 772-7313

1102 E Clark Ave
Ste A
Orcutt, CA 93455
Phone (805) 332-8185

2 James Way
Pismo Beach, CA 93449
Phone (805) 354-7999

2 James Way
Ste 207
Pismo Beach, CA 93449
Phone (805) 434-5530

901 Oak Park Blvd
Ste 101
Pismo Beach, CA 93449
Phone (805) 481-2205

1941 Johnson Ave
Ste 105B
San Luis Obispo, CA 93401
Phone (805) 786-6170

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

2323 De la Vina St
Ste 205
Santa Barbara, CA 93105
Phone (805) 983-0425

116 S Palisade Dr
Ste 103
Santa Maria, CA 93454
Phone (805) 739-3280

116 S Palisade Dr
Ste 104
Santa Maria, CA 93454
Phone (805) 614-2095

116 S Palisade Dr
Ste 200
Santa Maria, CA 93454
Phone (805) 739-3968

1300 E Cypress St
Ste B1
Santa Maria, CA 93454
Phone (805) 922-8006

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

1400 E Church St
Ste 8
Santa Maria, CA 93454
Phone (805) 739-3561

1745 N Broadway
Ste 101
Santa Maria, CA 93454

2880 Santa Maria Way
Ste C2
Santa Maria, CA 93455
Phone (805) 922-0561

316 S Stratford Ave
Ste A
Santa Maria, CA 93454
Phone (805) 332-8195

340 E Betteravia Rd
Santa Maria, CA 93454
Phone (805) 922-0561

1250 Peach St
Ste B
Sn Luis Obisp, CA 93401
Phone (805) 543-4043

Practitioners & affiliated clinicians

Practitioners 291

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 291

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1831764117",
    "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": "805-347-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE STE 220",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203929",
            "telephone_number": "805-547-2224",
            "fax_number": "805-474-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "enumeration_date": "2021-05-20",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair Oaks Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 1, 2025; 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.