Organization · Type 2 NPI

Department of State Hospitals

Psychiatric Hospital · Atascadero, CA

NPI number 1174573802 Active

Practice location

10333 El Camino Real
Atascadero, CA 93422-5808

Call (805) 468-2000 Map

Fax (805) 468-6011

Mailing address

1215 O St # Ms -3
Sacramento, CA 95814-5804

Specialties and licenses

Taxonomy	Code	License
General Acute Care Hospital	282N00000X	150000498 (CA)
Psychiatric Hospital Primary	283Q00000X	150000498 (CA)
Mental Illness Intermediate Care Facility	310500000X	150000498 (CA)
Skilled Nursing Facility	314000000X	150000498 (CA)
Pharmacy	333600000X	150000498 (CA)
Long Term Care Pharmacy	3336L0003X	150000498 (CA)

Psychiatric Hospital: 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.

243 other providers at this address

Other psychiatric hospital providers in Atascadero

Dsh-AtascaderoPsychiatric Hospital Atascadero, CA NPI 1407228299

See all in Atascadero →

NPI record

NPI: 1174573802
Entity type: Organization (Type 2)
Issued: May 11, 2006
Last updated: Oct 19, 2021
Status: Active
Subpart: Yes of Department of State Hospitals

Other names

<unavail>
Department of State Hospitals-Atascadero · doing business as
Department of State Hospitals-Atascadero · doing business as

Authorized official

Guadalupe M Alonzo-Diaz
Administrative Deputy Director
(916) 654-2655

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174573802

Department of State Hospitals's National Provider Identifier is 1174573802, issued on May 11, 2006. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Atascadero, CA. The record was last updated on Oct 19, 2021.