LOMA VISTA COMMUNITY SCHOOL
NPI 1033512561
Community/Behavioral Health in San Luis Obispo, CA

Active since September 29, 2014CLIA 05D2188401 · Waiver
2494 PENNINGTON CREEK RD, SAN LUIS OBISPO, CA 93405(805) 781-4700 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Loma Vista Community School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOMA VISTA COMMUNITY SCHOOL (NPI 1033512561) is a healthcare organization registered as a community/behavioral health in San Luis Obispo, California and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists M Dailsy Ilano, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033512561
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOUNTY OF SAN LUIS OBISPO
Location Address2494 PENNINGTON CREEK RDSan Luis Obispo, CA 93405-7841
Mailing Address2178 Johnson AveSan Luis Obispo, CA 93401-4535
Organization SubpartNo
Authorized OfficialM Dailsy IlanoMedical Director · (805) 781-4700
Enumeration DateSeptember 29, 2014
NPI 1033512561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2494 PENNINGTON CREEK RD, San Luis Obispo, CA 93405

Other Names 1

Doing Business AsLoma Vista Community School

Other Identifiers 1

Medicare PINCP065ACA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2188401

County Of San Luis Obispo Employee Health Clinic · San Luis Obispo, CA
Active · expires Jul 15, 2028
CLIA Number05D2188401
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorJohn Coffeey
Laboratory Phone(559) 733-7772
Laboratory LocationCounty Of San Luis Obispo Employee Health Clinic1465 #b Kansas Ave, San Luis Obispo, CA 93405
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2494 PENNINGTON CREEK RD
SAN LUIS OBISPO, CA 93405
Local Education Agency (LEA)
2494 PENNINGTON CREEK RD
SAN LUIS OBISPO, CA 93405
Marriage & Family Therapist
2494 PENNINGTON CREEK RD
SAN LUIS OBISPO, CA 93405
Counselor
2494 PENNINGTON CREEK RD
SAN LUIS OBISPO, CA 93405
Counselor (Addiction (Substance Use Disorder))
2494 PENNINGTON CREEK RD
SAN LUIS OBISPO, CA 93405
Health and Wellness Coach
2494 PENNINGTON CREEK RD
SAN LUIS OBISPO, CA 93405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of San Luis Obispo's NPI number?

The NPI number for County Of San Luis Obispo is 1033512561. It was assigned to this organization in the NPPES registry on September 29, 2014. The provider is doing business as Loma Vista Community School.

Where is County Of San Luis Obispo located?

County Of San Luis Obispo is located at 2494 Pennington Creek Rd, San Luis Obispo, CA 93405. The listed phone number is (805) 781-4700.

What is County Of San Luis Obispo's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does County Of San Luis Obispo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2188401) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of San Luis Obispo was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.