NPIMap

Organization Active NPI

County of San Luis Obispo

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arroyo Grande, CA
National Provider Identifier
1932563053
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF SAN LUIS OBISPO
Practice address
1350 E Grand Ave
Arroyo Grande, CA 93420-2422
Phone
(805) 781-4700
NPI assigned
Apr 6, 2016
Last updated
May 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
M. Daisy Ilano, MD
Title
Medical Director
Phone
(805) 781-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CA Primary

Addresses

Primary practice location

1350 E Grand Ave
Arroyo Grande, CA 93420-2422

Mailing address

1350 E Grand Ave
Arroyo Grande, CA 93420-2422
Phone (805) 781-4700

Other identifiers 1

IdentifierTypeStateIssuer
4000MedicaidCA

Other names 1

  • San Luis Obispo County Mental Health Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050407000794 CA Part B Supplier - Clinic/Group Practice 9032020094 Receives reassigned benefits from 32 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arroyo Grande, CA; San Luis Obispo, CA; Paso Robles, CA; Grover Beach, CA; Atascadero, CA

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Tax ID family
San Luis Obispo County78 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

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

View all 19

Locations

1106 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 473-7080

1350 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 474-2154

354 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 423-2008

1030 Vine St
Paso Robles, CA 93446
Phone (805) 237-3170

723 Walnut Dr
Paso Robles, CA 93446
Phone (805) 237-3050

805 4th St
Ste 201202
Paso Robles, CA 93446
Phone (805) 237-3050

1989 Vicente Dr
San Luis Obispo, CA 93405
Phone (805) 781-1354

Practitioners & affiliated clinicians

Practitioners 58

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 58

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1932563053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E GRAND AVE",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202422",
            "telephone_number": "805-781-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E GRAND AVE",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202422",
            "telephone_number": "805-781-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN LUIS OBISPO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "ILANO",
        "authorized_official_first_name": "M. DAISY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-781-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Luis Obispo County Mental Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 5, 2016; 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.