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DEPARTMENT OF STATE HOSPITALS-ATASCADERO
NPI 1174573802
Psychiatric Hospital in Atascadero, CA

Active since May 11, 2006CLIA 05D0587042 · Waiver
10333 EL CAMINO REAL, ATASCADERO, CA 93422(805) 468-2000(805) 468-6011 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Department Of State Hospitals-atascadero NPPES

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

DEPARTMENT OF STATE HOSPITALS-ATASCADERO (NPI 1174573802) is a healthcare organization registered as a psychiatric hospital in Atascadero, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Guadalupe M Alonzo-diaz, Administrative Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1174573802
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameDEPARTMENT OF STATE HOSPITALS
Location Address10333 EL CAMINO REALAtascadero, CA 93422-5808
Mailing Address1215 O St # Ms -3Sacramento, CA 95814-5804 · (916) 651-8906 · Fax (916) 651-8908
Phone(805) 468-2000
Fax(805) 468-6011
Organization SubpartYes
Authorized OfficialGuadalupe M Alonzo-diazAdministrative Deputy Director · (916) 654-2655
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1174573802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in CA · 150000498
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 150000498 (CA)
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 150000498 (CA)
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 150000498 (CA)
Also ListedPharmacyTaxonomy 333600000X · License 150000498 (CA)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 150000498 (CA)
10333 EL CAMINO REAL, Atascadero, CA 93422
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Other Names 1

Doing Business AsDepartment Of State Hospitals-atascadero

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare and more.Insurance ›

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 05D0587042

Department Of State Hospitals - Atascadero · Atascadero, CA
Active · expires Jun 9, 2028
CLIA Number05D0587042
Laboratory TypeHospital
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorKevin Parzych
Laboratory Phone(805) 468-2279
Laboratory LocationDepartment Of State Hospitals - Atascadero10333 El Camino Real, Atascadero, CA 93422
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

GIZELLA MARIA RAYMOND N.P., R.N.
Nurse Practitioner (Psychiatric/Mental Health)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
San Luis Obispo County (805) 468-3007
DR. MARC H. REINER MD
Psychiatry & Neurology (Psychiatry)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
San Luis Obispo County (805) 468-2000
AJIBADE ADELADAN MD
Psychiatry & Neurology (Psychiatry)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
San Luis Obispo County (805) 468-2000
DR. TIMOTHY EDWARD NASTASI PSYD
Psychologist (Clinical)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
San Luis Obispo County (805) 468-2000
GINA MARIE NAJOLIA PH.D.
Psychologist (Clinical)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
San Luis Obispo County (805) 468-2000
MS. EMILY K LUK M.D.
Internal Medicine
10333 EL CAMINO REAL
ATASCADERO, CA 93422
San Luis Obispo County (805) 468-2000
MRS. HAIDY DENISE WILLIS PMHNP
Registered Nurse (Psychiatric/Mental Health, Adult)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
San Luis Obispo County (805) 468-2000
DR. HAIZHU PEARL LIU M.D.
Psychiatry & Neurology (Psychiatry)
10333 EL CAMINO REAL
ATASCADERO, CA 93422
San Luis Obispo County (805) 468-2000

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 Department Of State Hospitals's NPI number?

The NPI number for Department Of State Hospitals is 1174573802. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Department Of State Hospitals-Atascadero.

Where is Department Of State Hospitals located?

Department Of State Hospitals is located at 10333 El Camino Real, Atascadero, CA 93422. The listed phone number is (805) 468-2000.

What is Department Of State Hospitals's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Department Of State Hospitals hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0587042) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Department Of State Hospitals accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 4 other insurers list Department Of State Hospitals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Department Of State Hospitals was last updated on October 19, 2021. 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.