GOLETA NEIGHBORHOOD CLINIC (NPI# 1215351705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215351705 |
| Entity Type | Organization |
| Organization Name | GOLETA NEIGHBORHOOD CLINIC |
| Practice Address |
334 S Patterson Ave Suite 203 Goleta CA 93111-2400 |
| Mailing Address |
915 N Milpas St 2nd Floor Santa Barbara CA 93103-2331 |
| Practice Telephone | 8056177878 |
| Practice Fax Number | 8056177880 |
| Mailing Telephone | 8056177850 |
| Mailing Fax Number | 8059638880 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | TRULA BREUNINGER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8056177851 |
| Authorized Official Credential | MPH, MBA |
| 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) |
550002691 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLINIC LICENSE | 550002691 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790109692 | Goleta Neighborhood Clinic | Clinic/Center | 334 S Patterson Ave, Suite 203, Goleta, CA 93111-2400 | 2014-02-12 |
| Street Address |
334 S PATTERSON AVE SUITE 203 |
| City | GOLETA |
| State | CA |
| Zip Code | 93111-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790109692 | Goleta Neighborhood Clinic | Clinic/Center | 334 S Patterson Ave, Suite 203, Goleta, CA 93111-2400 | 2014-02-12 |
| 1518002963 | Isabella Sherbatova | Physician Assistant | 334 S Patterson Ave, #120, Goleta, CA 93111 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104343953 | Jennifer Parsons | Marriage & Family Therapist | 5266 Hollister, Santa Barbara, CA 93111 | 2017-08-23 |
| 1629386859 | Nona D Cometa | Assisted Living Facility | 4866 Frances St., Santa Barbara, CA 93111 | 2010-09-22 |
| 1861636466 | Homecare Casa Rhoda #4, Inc. | Assisted Living Facility | 112 Santa Ave Avenue, Santa Barbara, CA 93111 | 2009-04-27 |
| 1942444955 | Homecare Casa Rhoda #1, Inc. | Assisted Living Facility | 126 Santa Ana Avenue, Santa Barbara, CA 93111 | 2009-04-22 |
| 1124262134 | Homecare Casa Rhoda #3, Inc. | Assisted Living Facility | 341 Santa Rosalia Way, Santa Barbara, CA 93111 | 2009-04-22 |
| 1982848990 | Heritage House Group | Assisted Living Facility | 5200 Hollister Avenue, Santa Barbara, CA 93111 | 2009-04-22 |
| 1295979326 | Home Care Casa Rhoda #2, Inc. | Home Health | 165 Santa Ana Avenue, Santa Barbara, CA 93111 | 2009-04-20 |
| 1467694943 | Abundant Care | Assisted Living Facility | 5506 Somerset Dr, Santa Barbara, CA 93111 | 2009-03-31 |
| 1942442546 | Abundant Care II | Assisted Living Facility | 698 Zink Ave, Santa Barbara, CA 93111 | 2009-03-27 |
| 1073762738 | Paul Zettas | Orthopaedic Surgery | 1423 Camino Manadero, Santa Barbara, CA 93111 | 2008-09-17 |
| Find all providers in zip 93111 | ||||
| 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 |
|---|---|---|---|---|
| 1790109692 | Goleta Neighborhood Clinic | Clinic/Center | 334 S Patterson Ave, Suite 203, Goleta, CA 93111-2400 | 2014-02-12 |
| 1679997852 | Santa Barbara Neighborhood Clinics | Clinic/Center | 5580 Calle Real, Goleta, CA 93111-1646 | 2014-02-10 |
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| 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.