NPIMap

Organization Active NPI

County of San Luis Obispo

Doing business as San Luis Obispo County Jail Healthcare

  • Prison Health Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1851073134
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF SAN LUIS OBISPO
Doing business as
San Luis Obispo County Jail Healthcare
Practice address
1585 Kansas Ave
Sheriff's Administration Attn Cmo
San Luis Obispo, CA 93405-7604
Phone
(805) 781-4510
Fax
(805) 781-4646
NPI assigned
Aug 4, 2023
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SAN LUIS OBISPOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Seth Alan Stabinsky, MD
Title
Sheriff's Chief Medical Officer
Phone
(805) 781-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X NU Primary

Addresses

Primary practice location

1585 Kansas Ave
Sheriff's Administration Attn Cmo
San Luis Obispo, CA 93405-7604

Mailing address

1585 Kansas Ave
Sheriff's Administration Attn Cmo
San Luis Obispo, CA 93405-7604
Phone (805) 781-4510

Other names 1

  • SAN LUIS OBISPO COUNTY JAIL HEALTHCARE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2306743San Luis Obispo County Jail Healthcare1585 Kansas Avenue, San Luis Obispo, CA 93405Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
San Luis Obispo County Mental Health78 organizations share this tax ID, including this one
Part of
San Luis Obispo County Mental Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1585 Kansas Ave
San Luis Obispo, CA 93405
Phone (805) 781-4600

Practitioners & affiliated clinicians

Practitioners 2

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": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1851073134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 KANSAS AVE",
            "address_2": "SHERIFF'S ADMINISTRATION ATTN CMO",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057604",
            "telephone_number": "805-781-4510",
            "fax_number": "805-781-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 KANSAS AVE",
            "address_2": "SHERIFF'S ADMINISTRATION ATTN CMO",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057604",
            "telephone_number": "805-781-4510",
            "fax_number": "805-781-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN LUIS OBISPO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN LUIS OBISPO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "STABINSKY",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SHERIFF'S CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "805-781-4510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN LUIS OBISPO COUNTY JAIL HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.