DEPARTMENT OF STATE HOSPITALS-ATASCADERO
NPI 1174573802
Psychiatric Hospital in Atascadero, CA
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
Specialties & Licenses 6
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Department Of State Hospitals-atascadero is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
746Medicare enrollment records show 746 clinicians reassign Medicare billing to Department Of State Hospitals-Atascadero, which bills Medicare for the services they deliver. Of these, 93 practice at this address and 101 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 35
Nearest to this location (20)
See all 746Atascadero, CA 93423
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Department Of State Hospitals enrolled in Medicare?
Yes. Department Of State Hospitals is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Department Of State Hospitals?
According to the CMS Revalidation Reassignment List (October 2026 release), 746 clinicians in 35 Medicare specialties reassign their Medicare billing to Department Of State Hospitals. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (350), Clinical Psychologist (133) and Internal Medicine (74). Of these, 93 practice at this address and 101 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 31 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 5 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.
# Department Of State Hospitals-Atascadero · NPI 1174573802
Psychiatric Hospital organization in Atascadero, California. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1174573802 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Psychiatric Hospital · taxonomy 283Q00000X
- **Legal business name:** Department Of State Hospitals
- **Organization subpart:** Yes (part of Department Of State Hospitals)
- **Authorized official:** Guadalupe Alonzo-Diaz, ADMINISTRATIVE DEPUTY DIRECTOR
## Practice location
- **Address:** 10333 EL CAMINO REAL, Atascadero, CA 93422-5808
- **Phone:** (805) 468-2000 · **Fax:** (805) 468-6011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 746 clinicians in 35 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (350), Clinical Psychologist (133), Internal Medicine (74); 93 practice at this address and 101 within 10 miles; [full list](https://npiprofile.com/npi/1174573802/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174573802) · Data from the CMS NPPES public registry.