NPIMap

Organization Active NPI

County of San Luis Obispo Drug and Alcohol Service

  • Clinic/Center
  • Grover Beach, CA
National Provider Identifier
1881805422
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
400003DN Issued in CA
Legal business name
COUNTY OF SAN LUIS OBISPO DRUG AND ALCOHOL SERVICE
Practice address
1523 Longbranch Ave
Grover Beach, CA 93433
Phone
(805) 473-4759
Fax
(805) 473-7188
NPI assigned
May 25, 2007
Last updated
Aug 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Authorized official

Name
Dr. Starlene M Graber, PHD, LMFT
Title
Divison Manager
Phone
(805) 781-4759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 400003DN CA Primary

Addresses

Primary practice location

1523 Longbranch Ave
Grover Beach, CA 93433

Mailing address

2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Phone (805) 781-4558

National Provider Directory

National Provider Directory
Tax ID family
Drug and Alcohol Services78 organizations share this tax ID, including this one

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1881805422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014558",
            "telephone_number": "805-781-4558",
            "fax_number": "805-781-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 LONGBRANCH AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "93433",
            "telephone_number": "805-473-4759",
            "fax_number": "805-473-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN LUIS OBISPO DRUG AND ALCOHOL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "STARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIVISON MANAGER",
        "authorized_official_telephone_number": "805-781-4759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "400003DN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grover Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.