NPIMap

Organization Active NPI

Community Health Centers of the Central Coast Inc

Doing business as Community Health Centers Cambria

  • Federally Qualified Health Center (FQHC)
  • Cambria, CA
National Provider Identifier
1881611705
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Doing business as
Community Health Centers Cambria
Practice address
2515 Main St
Suite B
Cambria, CA 93428-3407
Phone
(805) 927-5292
Fax
(805) 927-0354
NPI assigned
Jul 16, 2006
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Barbara Allen
Title
Business Office Manager
Phone
(805) 361-8014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

2515 Main St
Suite B
Cambria, CA 93428-3407

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310
Phone (805) 361-8014

Other names 1

  • Community Health Centers Cambria Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040115001161 CA Part B Supplier - Clinic/Group Practice 7416868120 Receives reassigned benefits from 236 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Maria, CA; Paso Robles, CA; San Luis Obispo, CA; Templeton, CA; Oceano, CA; Arroyo Grande, CA; Atascadero, CA; Cambria, CA…
O20061017000543 CA Part A Provider - Federally Qualified Health Center (FQHC) 7416868120 Practice locations: Cambria, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881611705. Details of each certification follow.

Federally qualified health center certification: CCN 051064

Legal name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
Doing business as
COMMUNITY HEALTH CENTERS CAMBRIA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 22, 2006
Last certification
Nov 22, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 8, 1978 in CA
Enrollment address
1276 Tamsen St
Cambria, CA 93428-3325

Other NPIs with the same Medicare PAC ID 22

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

View all 22

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

National Provider Directory

National Provider Directory
Tax ID family
Comm HLTH CTRS-Morro Bay22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

1205 E Grand Ave
Bldg H
Arroyo Grande, CA 93420
Phone (805) 994-2315

1205 E Grand Ave
Ste H
Arroyo Grande, CA 93420
Phone (805) 361-8097

7512 Morro Rd
#7516
Atascadero, CA 93422
Phone (805) 792-1400

2515 Main St
Ste B
Cambria, CA 93428
Phone (805) 927-5292

2515 Main St
Ste Bc
Cambria, CA 93428
Phone (805) 927-5292

4581 10th St
Guadalupe, CA 93434
Phone (805) 343-5577

133 N F St
#C
Lompoc, CA 93436
Phone (805) 737-1169

425 W Central Ave
Lompoc, CA 93436
Phone (805) 736-2020

425 W Central Ave
#201203
Lompoc, CA 93436
Phone (805) 737-1169

660 Harbor St
Morro Bay, CA 93442
Phone (805) 771-8489

760 Morro Bay Blvd
Morro Bay, CA 93442
Phone (805) 600-6001

1981 Cienaga St
Oceano, CA 93445
Phone (805) 270-0025

416 Spring St
#A
Paso Robles, CA 93446
Phone (805) 238-7250

1551 Bishop St
Ste B260
San Luis Obispo, CA 93401
Phone (805) 361-8014

1510 E Main St
Ste 104B
Santa Maria, CA 93454
Phone (805) 361-8030

201 W Mill St
Santa Maria, CA 93458
Phone (805) 346-2753

210 N Broadway
Santa Maria, CA 93454
Phone (805) 345-3701

2801 Santa Maria Way
Santa Maria, CA 93455
Phone (805) 934-5400

2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200

901 S Broadway
Santa Maria, CA 93454
Phone (805) 614-9275

2180 Johnson Ave
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 269-1313

1330 Las Tablas Rd
Templeton, CA 93465
Phone (805) 443-4103

325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644

959 Las Tablas Rd
Ste B2
Templeton, CA 93465
Phone (805) 434-9641

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bertha Campos Individual Corporate Director Oct 3, 2006
Ronald E Castle Individual Corporate Director Oct 3, 2006
Barbara a Allen Individual W-2 Managing Employee Oct 3, 2006
Operational/Managerial ControlBusiness Office Manager May 1, 2015 5%
William Gordon Individual Corporate OfficerBoard Member Jan 1, 2015 5%

Practitioners & affiliated clinicians

Practitioners 253

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 253

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1881611705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S BLOSSER RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587310",
            "telephone_number": "805-361-8014",
            "fax_number": "805-361-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 MAIN ST",
            "address_2": "SUITE B",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934283407",
            "telephone_number": "805-927-5292",
            "fax_number": "805-927-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "805-361-8014"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Centers Cambria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Centers Cambria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambria, CA

Sources for this page

Verify at the official NPI Registry.