COALINGA REGIONAL MEDICAL CENTER SKILLED NURSING FACILITY
NPI 1083387682
Meals in Coalinga, CA

Active since July 29, 2021CLIA 05D2250777 · Waiver
1191 PHELPS AVE, COALINGA, CA 93210(209) 287-6308 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2022, Jul 29, 2021 (2 updates tracked since 2021).

About Coalinga Regional Medical Center Skilled Nursing Facility NPPES

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

COALINGA REGIONAL MEDICAL CENTER SKILLED NURSING FACILITY (NPI 1083387682) is a healthcare organization registered as a meals in Coalinga, California and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Tammy Thompson, Executive Vp /cfo, as its authorized official.

NPPES Registry Identity

NPI1083387682
Entity TypeOrganization
Primary Taxonomy174200000X
Legal Business NameCOALINGA MEDICAL CENTER, LLC
Location Address1191 PHELPS AVECoalinga, CA 93210-9609
Mailing Address1191 Phelps AveCoalinga, CA 93210-9609
Organization SubpartNo
Authorized OfficialTammy ThompsonExecutive Vp /cfo · (209) 287-6308
Enumeration DateJuly 29, 2021
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
NPI 1083387682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMealsOther Service Providers
Taxonomy Code174200000X
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
1191 PHELPS AVE, Coalinga, CA 93210

Other Names 1

Doing Business AsCoalinga Regional Medical Center Skilled Nursing Facility

CLIA Laboratory Certificates CMS CLIA 2

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 05D2250777

Coalinga Medical Center Rural Health Clinics · Coalinga, CA
Active · expires Jan 27, 2028
CLIA Number05D2250777
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorTao-Po Tschang
Laboratory Phone(559) 821-6100
Laboratory LocationCoalinga Medical Center Rural Health Clinics1165 Phelps Ave Suite 105, Coalinga, CA 93210
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 05D0692722

Coalinga Regional Medical Center Laboratory · Coalinga, CA
Expired · Jul 31, 2026
CLIA Number05D0692722
Laboratory TypeHospital
Certificate Effective DateOctober 4, 2022
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorTai PO Tschang, MD
Laboratory Phone(559) 821-6100
Laboratory LocationCoalinga Regional Medical Center Laboratory1191 Phelps Ave, Coalinga, CA 93210
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 18

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

Meals
1191 PHELPS AVE
COALINGA, CA 93210
Radiology (Diagnostic Radiology)
1191 PHELPS AVE
COALINGA, CA 93210
Meals
1191 PHELPS AVE
COALINGA, CA 93210
Community Health Worker
1191 PHELPS AVE
COALINGA, CA 93210
Emergency Medicine
1191 PHELPS AVE
COALINGA, CA 93210
Pharmacist
1191 PHELPS AVE
COALINGA, CA 93210
Internal Medicine
1191 PHELPS AVE
COALINGA, CA 93210
Meals
1191 PHELPS AVE
COALINGA, CA 93210

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 Coalinga Medical Center, LLC's NPI number?

The NPI number for Coalinga Medical Center, LLC is 1083387682. It was assigned to this organization in the NPPES registry on July 29, 2021. The provider is doing business as Coalinga Regional Medical Center Skilled Nursing Facility.

Where is Coalinga Medical Center, LLC located?

Coalinga Medical Center, LLC is located at 1191 Phelps Ave, Coalinga, CA 93210. The listed phone number is (209) 287-6308.

What is Coalinga Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Meals with taxonomy code 174200000X.

Does Coalinga Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2250777) is associated with this NPI, valid through January 27, 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 Coalinga Medical Center, LLC was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.