SANTA BARBARA NEIGHBORHOOD CLINICS (NPI# 1063438232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063438232 |
Entity Type | Organization |
Organization Name | SANTA BARBARA NEIGHBORHOOD CLINICS |
Other Organization Name | EASTSIDE NEIGHBORHOOD CLINIC |
Practice Address |
915 N Milpas St Santa Barbara CA 93103-2331 |
Mailing Address |
915 N Milpas St 2nd Floor Santa Barbara CA 93103-2331 |
Practice Telephone | 8059631641 |
Practice Fax Number | 8059626616 |
Mailing Telephone | 8056177858 |
Mailing Fax Number | 8058982002 |
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 | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
050000113 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | EAPC PROVIDER NUMBER | EAP70114G | 01 |
CA | FAMPACT LEGACY NUMBER | HAP70114G | 01 |
CA | DHS LAB REGISTRATION NUMBER | CLP 303897 | 01 |
CA | BOARD OF PHARMACY CLINIC PERMIT | CLN 1072 | 01 |
CA | CCS | 168904 | 01 |
CA | CDP PROVIDER NUMBER | BCP70114G | 01 |
CA | COMMUNITY CLINIC LICENSE | 050000113 | 01 |
CA | FHC70114G | 05 | |
CA | CLIA NUMBER | 05D0584453 | 01 |
Other Name | Type Code |
---|---|
Eastside 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 |
915 N MILPAS ST |
City | SANTA BARBARA |
State | CA |
Zip Code | 93103-2331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932196649 | Bonnie Jeanne Davis | Family Medicine | 915 N Milpas St, Santa Barbara, CA 93103 | 2005-09-29 |
1346702503 | Megan Fox Horn | Family Medicine | 915 N Milpas St, Santa Barbara, CA 93103-2331 | 2019-04-04 |
1952842320 | Elizabeth Villaruel Figueroa | Registered Nurse | 915 N Milpas St, Fl 2, Santa Barbara, CA 93103-2331 | 2017-03-17 |
1609225523 | Jesse Najera Valdez | Psychologist | 915 N Milpas St, Fl 2, Santa Barbara, CA 93103-2331 | 2016-06-10 |
1639552086 | Ana Devaney | Physician Assistant | 915 N Milpas St, 2nd Floor, Santa Barbara, CA 93103-2331 | 2015-07-02 |
1184026338 | Vanessa Ann Atyabi | Nurse Practitioner | 915 N Milpas St, Santa Barbara, CA 93103-2331 | 2014-09-18 |
1679721609 | Kendra Lyn Wiggins | Family Medicine | 915 N Milpas St, 2nd Floor, Santa Barbara, CA 93103-2331 | 2008-09-03 |
1578740007 | Santa Barbara Neighborhood Clinics | Clinic/Center | 915 N Milpas St, Santa Barbara, CA 93103-2331 | 2008-01-28 |
1770760670 | Santa Barbara Neighborhood Clinics | Clinic/Center | 915 N Milpas St, Santa Barbara, CA 93103-2331 | 2008-01-23 |
1861607228 | Santa Barbara Neighborhood Clinics | Clinic/Center | 915 N Milpas St, 2nd Floor, Santa Barbara, CA 93103-2331 | 2007-05-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033730189 | Luis Soto | Counselor | 106 Juana Maria Avenue, Santa Barbara, CA 93103 | 2020-04-29 |
1952711624 | Monica Gonzalez-miller | Acupuncturist | 22 N. Milpas Street, Suite D, Santa Barbara, CA 93103 | 2014-05-05 |
1598061541 | P. Joseph Frawley M.d. Medical Group, Inc. | Internal Medicine | 525 E. Micheltorena, Ste. 107, Santa Barbara, CA 93103 | 2011-02-08 |
1982912473 | Lauren Bray | Counselor | 430 East Guiterrez Street, Santa Barbara, CA 93103 | 2010-09-17 |
1023349636 | Brian D Hardgrave | Counselor | 37 Mountain Dr., Santa Barbara, CA 93103 | 2010-01-21 |
1326214644 | James David Dart | Dentist | 536 E. Arrellaga St Ste 101, Santa Barbara, CA 93103 | 2008-05-06 |
1982804076 | Carl Hennessy Williams | Family Medicine | 400 E Pedregosa St, #b, Santa Barbara, CA 93103 | 2007-07-18 |
1083836415 | Randall Jay Schwalm | Community/Behavioral Health | 126 E. Haley St., Santa Barbara, CA 93103 | 2007-05-03 |
1215097217 | Janet Alexander | Marriage & Family Therapist | 2034 De La Vina Street, Santa Barbara, CA 93103 | 2006-12-11 |
1285718122 | Master Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 910 E Haley St, Santa Barbara, CA 93103 | 2006-10-25 |
Find all providers in zip 93103 |
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 |
---|---|---|---|---|
1225054414 | Santa Barbara Neighborhood Clinics | Clinic/Center | 628 W Micheltorena St, Santa Barbara, CA 93101-4131 | 2006-07-14 |
1740222934 | American Indian Health & Services Corporation | Clinic/Center | 4141 State St Ste B11, Santa Barbara, CA 93110-1898 | 2006-06-12 |
1578740007 | Santa Barbara Neighborhood Clinics | Clinic/Center | 915 N Milpas St, Santa Barbara, CA 93103-2331 | 2008-01-28 |
1598942492 | Santa Barbara Neighborhood Clinics | Clinic/Center | 628 W Micheltorena St, Santa Barbara, CA 93101-4131 | 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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
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 | SANTA BARBARA |
Zip Code | 93103 |
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.