Provider Demographics
NPI:1184641664
Name:PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-963-2445
Mailing Address - Street 1:518 GARDEN STREET
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101
Mailing Address - Country:US
Mailing Address - Phone:805-963-2445
Mailing Address - Fax:805-965-2292
Practice Address - Street 1:5400 RALSTON STREET
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-963-2445
Practice Address - Fax:805-965-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA050000209261QC1500X
261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMM70384FMedicaid
CACMM70384FMedicaid
CAV15203Medicare ID - Type Unspecified