PACIFIC CENTRAL COAST HEALTH CENTERS is a community health clinic center in Pismo Beach, CA. PACIFIC CENTRAL COAST HEALTH CENTERS NPI is 1538618590. The provider is registered as an organization entity type. The provider Is Doing Business As Pismo Beach Pediatric Center.
The provider's business location address is:
2 JAMES WAY SUITE 209 PISMO BEACH, CA ZIP 93449-973 Phone: (805) 739-3474 Fax: (805) 346-3548
The provider's authorized official is Matthew Richardson . The authorized official title is Chief Financial Officer and has the following contact phone number (805) 739-3108.
The CLIA number assigned to this NPI record is 05D2256639 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/30/2016 and was last updated on 9/10/2021.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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