SANSUM CLINIC (NPI# 1154354504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154354504 |
| Entity Type | Organization |
| Organization Name | SANSUM CLINIC |
| Other Organization Name | SANSUM SANTA BARBARA |
| Practice Address |
215 Pesetas Ln Santa Barbara CA 93110-1416 |
| Mailing Address |
Po Box 62106 Santa Barbara CA 93160-2106 |
| Practice Telephone | 8056811760 |
| Mailing Telephone | 8056811760 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER L THOMAS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8056817709 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sansum Santa Barbara | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518983782 | Sansum Clinic | Clinical Medical Laboratory | 89 S Patterson Ave, Santa Barbara, CA 93111-2003 | 2006-07-14 |
| 1144648015 | Sansum Clinic | Clinic/Center | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 | 2014-03-28 |
| 1376645788 | Sansum Clinic | Pharmacy | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2006-09-05 |
| 1376655290 | Sansum Clinic | Durable Medical Equipment & Medical Supplies | 317 W Pueblo St, Santa Barbara, CA 93105-4310 | 2006-08-31 |
| 1932121514 | Sansum Clinic | Clinic/Center | 317 W Pueblo St, Santa Barbara, CA 93105-4355 | 2006-07-24 |
| 1649296807 | Sansum Clinic | Clinic/Center | 317 W Pueblo St, Santa Barbara, CA 93105-4355 | 2006-07-14 |
| Street Address |
215 PESETAS LN |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93110-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306836713 | Kenneth S Palley | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2005-10-26 |
| 1780235960 | Shiela Marie Marie Tungol-laffie | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2019-09-27 |
| 1639638026 | Lawrence Suarez | Pharmacist | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2019-03-15 |
| 1972079663 | Robert Richard Bauer | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-10-19 |
| 1235613480 | Leann Mclaughlin | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-09-23 |
| 1497237598 | Gabriella Apollonio | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-09-05 |
| 1558854984 | Kati Lynn Kenner | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-06-11 |
| 1487144747 | Krista Briana Blaustein | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-05-12 |
| 1609227453 | Caitlin Harris Hwang | Family Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2016-06-23 |
| 1245693639 | Marie Claire Lamb | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110 | 2016-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287431 | Rosanne M. Marquis | Technician | 4131 Creviente Drive, Santa Barbara, CA 93110 | 2019-10-22 |
| 1467961722 | Chris Latham | Nutritionist | 4760 Amarosa Street, Santa Barbara, CA 93110 | 2017-09-29 |
| 1770030330 | Laurence Seguin-brault | Social Worker | 66 South Anttonio Road, Santa Barbara, CA 93110 | 2016-09-01 |
| 1891142626 | Patricia Hurtado | Peer Specialist | 66 S San Antonio Road, Santa Barbara, CA 93110 | 2016-05-23 |
| 1023494945 | Santa Barbara County Alcogol, Drug & Mental Health Services | Social Worker | 66 S. San Antonio Road, Santa Barbara, CA 93110 | 2015-08-03 |
| 1225382088 | Terry Gostow | Speech-Language Pathologist | 333 Old Mill Road, #314, Santa Barbara, CA 93110 | 2012-11-01 |
| 1184914020 | Matt Traube | Marriage & Family Therapist | 3953 Carol Ave, Santa Barbara, CA 93110 | 2011-04-12 |
| 1679715270 | Abundant Care IIi | Assisted Living Facility | 4589 Anhay Dr, Santa Barbara, CA 93110 | 2009-03-27 |
| 1508052333 | Chadler R Burgoyne | Orthopaedic Surgery | Sansum Orthopedic Clinic, 4151 Foothill Rd - Bldg A, Santa Barbara, CA 93110 | 2007-09-14 |
| 1689878894 | Jill Louise Daugherty | Counselor | Admhs, Santa Barbara, CA 93110 | 2007-06-12 |
| Find all providers in zip 93110 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932121514 | Sansum Clinic | Clinic/Center | 317 W Pueblo St, Santa Barbara, CA 93105-4355 | 2006-07-24 |
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| Find all providers with the same taxonomy | ||||
| City | SANTA BARBARA |
| Zip Code | 93110 |
Please comment or provide details below to improve the information on SANSUM CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.