NPIMap

Organization Active NPI

Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Atascadero, CA
National Provider Identifier
1932598521
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
PACIFIC CENTRAL COAST HEALTH CENTERS
Practice address
5920 West Mall
Atascadero, CA 93422
Phone
(805) 739-3890
Fax
(805) 347-7697
NPI assigned
Jan 20, 2015
Organization subpart
Yes
Parent organization
PACIFIC CENTRAL COAST HEALTH CENTERSAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Brandon Merlo
Title
Chief Financial Officer
Phone
(805) 739-3853

Other NPIs with the same Medicare PAC ID 9

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

Corporate family (same tax ID) 34

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

View all 34

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 250

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 250

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
05D2095351Med Plus Atascadero5920 West Mall, Atascadero, CA 93422Certificate of waiverMay 5, 2027

Medicare participation

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

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031103000443 CA Part B Supplier - Clinic/Group Practice 9739091364 Receives reassigned benefits from 305 practitioners
This NPI is an additional NPI on the enrollment
O20190416001316 CA DME Supplier - Multi-Specialty - Physician 9739091364 Practice locations: Atascadero, CA

National Provider Directory

National Provider Directory
Tax ID family
Pacific Central Coast Health Centers (36 organizations share this tax ID)
Part of
Pacific Central Coast Health Centers

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

NPPES NPI Registry

Primary practice location

5920 West Mall
Atascadero, CA 93422

Mailing address

1414 E Main St Ste 201
Santa Maria, CA 93454-4890
Phone (805) 994-5485

Other names 1

NPPES NPI Registry
  • Med Plus Atascadero Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2025.

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1932598521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E MAIN ST STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544890",
            "telephone_number": "805-994-5485",
            "fax_number": "805-614-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 WEST MALL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "93422",
            "telephone_number": "805-739-3890",
            "fax_number": "805-347-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC CENTRAL COAST HEALTH CENTERS",
        "enumeration_date": "2015-01-20",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A",
        "authorized_official_last_name": "MERLO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "805-739-3853"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Plus Atascadero",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.