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MARIAN COMMUNITY CLINIC
NPI 1063496651
Clinic/Center - Community Health in Santa Maria, CA

Active since December 06, 2005CLIA 05D0897396 · Microscopy
1745 N BROADWAY STE 101, SANTA MARIA, CA 93454(805) 739-3890(805) 347-7697 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 3, 2023, Mar 20, 2023, Aug 25, 2022 and 1 more (4 updates tracked since 2018).

About Marian Community Clinic NPPES

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

MARIAN COMMUNITY CLINIC (NPI 1063496651) is a healthcare organization registered as a community health in Santa Maria, California and active in the NPI registry since December 2005. The organization holds a CLIA Microscopy certificate valid through March 8, 2027 and lists Matthew Richardson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1063496651
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NamePACIFIC CENTRAL COAST HEALTH CENTERS
Location Address1745 N BROADWAY STE 101Santa Maria, CA 93454-1940
Mailing Address1414 E Main St Ste 201Santa Maria, CA 93454-4890 · (805) 994-5485 · Fax (805) 614-5871
Phone(805) 739-3890
Fax(805) 347-7697
Organization SubpartYes
Authorized OfficialMatthew RichardsonChief Financial Officer · (805) 739-3108
Enumeration DateDecember 6, 2005
Last NPPES UpdateApril 3, 20234 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1063496651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
1745 N BROADWAY STE 101, Santa Maria, CA 93454
Open in Google Maps ↗

Other Names 1

Doing Business AsMarian Community Clinic

Other Identifiers 4

MedicaidCMM70597GCA
MedicaidCMM70597OCA
MedicaidEAP03882GCA
OtherZZZ06481ZBlue Shield Of Ca

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0897396

Marian Community Clinic · Santa Maria, CA
Active · expires Mar 8, 2027
CLIA Number05D0897396
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorDr. Eduyna Omonte
Laboratory Phone(805) 739-3890
Laboratory LocationMarian Community Clinic1745 N Broadway Ste 101, Santa Maria, CA 93454
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

JAIME ACOSTA BERRIOS
Family Medicine
1745 N BROADWAY STE 101
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3890
BRITTANY LOPEZ
Physician Assistant
1745 N BROADWAY STE 101
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3890
RYAN STILWELL PA-C
Physician Assistant
1745 N BROADWAY STE 101
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3890
EDUYNA ANDREA OMONTE YAWATA MD
Family Medicine
1745 N BROADWAY STE 101
SANTA MARIA, CA 93454
Santa Barbara County (805) 739-3890

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 Pacific Central Coast Health Centers's NPI number?

The NPI number for Pacific Central Coast Health Centers is 1063496651. It was assigned to this organization in the NPPES registry on December 6, 2005. The provider is doing business as Marian Community Clinic.

Where is Pacific Central Coast Health Centers located?

Pacific Central Coast Health Centers is located at 1745 N Broadway Ste 101, Santa Maria, CA 93454. The listed phone number is (805) 739-3890.

What is Pacific Central Coast Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Pacific Central Coast Health Centers hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0897396) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Central Coast Health Centers was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.