Organization
COMMUNITY HEATLH CENTERS OF THE CENTRAL COAST
Active
Organization
COMMUNITY HEATLH CENTERS OF THE CENTRAL COAST
Active
Other names
CHC Pharmacy Atascadero
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J CHRIS MITSUOKA PHARM.D. (DIRECTOR OF PHARMACY)
(805) 269-1326
Entity
Organization
Contact information
Practice address
5575 CAPISTRANO AVE, ATASCADERO, CA 93422-4264
(805) 792-1422
(805) 792-1488
Mailing address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 269-1326
(805) 269-1388
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PHY 46797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613612
NCPDP NUMBER
CA
05
—
PHA467970
—
CA
01
—
PHY46797
PHARMACY LICENSE #
CA
Enumeration date
10/19/2005
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up