NPIMap

Organization Active NPI

San Luis Obispo County CCS

  • Rehabilitation Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1922198787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SAN LUIS OBISPO COUNTY CCS
Practice address
251 Grand Ave
San Luis Obispo, CA 93405-2009
Phone
(805) 781-4266
Fax
(805) 788-2180
NPI assigned
Oct 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gail Freiler
Title
Supervising Therapist
Phone
(805) 781-4266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

251 Grand Ave
San Luis Obispo, CA 93405-2009

Mailing address

251 Grand Ave
San Luis Obispo, CA 93405-2009
Phone (805) 781-4266

Other names 1

  • San Luis Obispo Medical Therapy Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
San Luis Obispo County CCS7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

251 Grand Ave
San Luis Obispo, CA 93405
Phone (805) 543-7732

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922198787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 GRAND AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052009",
            "telephone_number": "805-781-4266",
            "fax_number": "805-788-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 GRAND AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052009",
            "telephone_number": "805-781-4266",
            "fax_number": "805-788-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS OBISPO COUNTY CCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREILER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "SUPERVISING THERAPIST",
        "authorized_official_telephone_number": "805-781-4266",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Luis Obispo Medical Therapy Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 22, 2020; 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.