SANTA BARBARA NEIGHBORHOOD CLINICS (NPI# 1265458434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265458434 |
| Entity Type | Organization |
| Organization Name | SANTA BARBARA NEIGHBORHOOD CLINICS |
| Other Organization Name | ISLA VISTA NEIGHBORHOOD CLINIC |
| Practice Address |
970 Embarcadero Del Mar Isla Vista CA 93117-4869 |
| Mailing Address |
915 N Milpas St 2nd Floor Santa Barbara CA 93103-2331 |
| Practice Telephone | 8059681511 |
| Practice Fax Number | 8059687041 |
| Mailing Telephone | 8056177858 |
| Mailing Fax Number | 8059638880 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | DR. CHARLES CAMILLO FENZI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8056177850 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SANTA BARBARA NEIGHBORHOOD CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
050000089 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | COMMUNITY CLINIC LICENSE | 05-0000089 | 01 |
| CA | CLIA | 05D0584453 | 01 |
| CA | CCS | 167273 | 01 |
| CA | BOARD OF PHARMACY CLINIC PERMIT | CLN 1073 | 01 |
| CA | DHS LAB REGISTRATION NUMBER | CLP 303897 | 01 |
| CA | FHC70097G | 05 | |
| CA | BCP70097G | 05 | |
| CA | FAMILYPACT PROVIDER NUMBE | HAP70097G | 01 |
| Other Name | Type Code |
|---|---|
| Isla Vista Neighborhood Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225054414 | Santa Barbara Neighborhood Clinics | Clinic/Center | 628 W Micheltorena St, Santa Barbara, CA 93101-4131 | 2006-07-14 |
| 1679997852 | Santa Barbara Neighborhood Clinics | Clinic/Center | 5580 Calle Real, Goleta, CA 93111-1646 | 2014-02-10 |
| 1578740007 | Santa Barbara Neighborhood Clinics | Clinic/Center | 915 N Milpas St, Santa Barbara, CA 93103-2331 | 2008-01-28 |
| 1023295920 | Santa Barbara Neighborhood Clinics | Clinic/Center | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2008-01-23 |
| 1598942492 | Santa Barbara Neighborhood Clinics | Clinic/Center | 628 W Micheltorena St, Santa Barbara, CA 93101-4131 | 2008-01-23 |
| 1942487848 | Santa Barbara Neighborhood Clinics | Clinic/Center | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2008-01-23 |
| 1770760670 | Santa Barbara Neighborhood Clinics | Clinic/Center | 915 N Milpas St, Santa Barbara, CA 93103-2331 | 2008-01-23 |
| 1407033301 | Santa Barbara Neighborhood Clinics | Clinic/Center | 628 W Micheltorena St, Santa Barbara, CA 93101-4131 | 2008-01-23 |
| 1861607228 | Santa Barbara Neighborhood Clinics | Clinic/Center | 915 N Milpas St, 2nd Floor, Santa Barbara, CA 93103-2331 | 2007-05-11 |
| 1972636835 | Santa Barbara Neighborhood Clinics | Clinic/Center | 923 N Milpas St, Santa Barbara, CA 93103-2331 | 2007-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANTA BARBARA NEIGHBORHOOD CLINICS | 414 E Cota St # 1, Santa Barbara, CA 93101-1624 |
| Street Address |
970 EMBARCADERO DEL MAR |
| City | ISLA VISTA |
| State | CA |
| Zip Code | 93117-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154374122 | Stephen A Daniels | Emergency Medicine | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2006-05-18 |
| 1144840612 | Kyra Pelz-walsh | Family Medicine | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2020-04-24 |
| 1134776776 | Alana Lee Ringwald | Family Medicine | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2019-08-19 |
| 1871827295 | Renae Jean O'keeffe | Nurse Practitioner | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4887 | 2009-10-01 |
| 1023295920 | Santa Barbara Neighborhood Clinics | Clinic/Center | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2008-01-23 |
| 1942487848 | Santa Barbara Neighborhood Clinics | Clinic/Center | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2008-01-23 |
| 1467521872 | Andria Barnes Ruth | Pediatrics | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4887 | 2006-11-07 |
| 1255417895 | Alissa Shattenberg | Nurse Practitioner | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063937647 | Cac Goleta 1, 2, Toddler Center | Counselor | 5681 Hollister Avenue, Goleta, CA 93117 | 2017-08-04 |
| 1396270302 | Jung Hsieh | Dentist | 671 Arundel Rd, Goleta, CA 93117 | 2017-04-27 |
| 1679958607 | Alexander Benitez | Physical Therapist | 5718 Hollister Ave Ste 105, Goleta, CA 93117 | 2015-07-20 |
| 1699024299 | Caitlin Ann Belter | Physical Therapist | 6030 Hollister Ave, Goleta, CA 93117 | 2012-08-29 |
| 1538434956 | Stanley Ostern | Internal Medicine | 7757 Kestrel Lane, Goleta, CA 93117 | 2012-03-19 |
| 1083901011 | John Robert Hoyer | Counselor | 162 Kingston Ave., Unit A, Goleta, CA 93117 | 2011-06-28 |
| 1104141662 | Bryan J Moore | Psychiatry & Neurology | Intouch Health / C3o Telemedicine, 7402 Hollister Avenue, Santa Barbara, CA 93117 | 2010-03-28 |
| 1467786384 | Qualtek Molecular Laboratories | Spec/Tech, Pathology | 6483 Calle Real, Suite A, Goleta, CA 93117 | 2009-09-24 |
| 1376784553 | Edelweiss Home Inc. | Assisted Living Facility | 7067 Armstrong Road, Goleta, CA 93117 | 2009-03-17 |
| 1588832307 | Kirk Concepcion | Specialist/Technologist | 7070 Marketplace Drive, Goleta, CA 93117 | 2008-02-14 |
| Find all providers in zip 93117 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023295920 | Santa Barbara Neighborhood Clinics | Clinic/Center | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2008-01-23 |
| 1942487848 | Santa Barbara Neighborhood Clinics | Clinic/Center | 970 Embarcadero Del Mar, Isla Vista, CA 93117-4869 | 2008-01-23 |
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| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | ISLA VISTA |
| Zip Code | 93117 |
Please comment or provide details below to improve the information on SANTA BARBARA NEIGHBORHOOD CLINICS.
| 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.