SANTA YNEZ BAND OF MISSION INDIANS (NPI# 1992779417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992779417 |
Entity Type | Organization |
Organization Name | SANTA YNEZ BAND OF MISSION INDIANS |
Other Organization Name | SANTA YNEZ TRIBAL HEALTH CLINIC |
Practice Address |
90 Via Juana Lane Santa Ynez CA 93460-9405 |
Mailing Address |
Po Box 539 Santa Ynez CA 93460-0539 |
Practice Telephone | 8056887070 |
Practice Fax Number | 8056862060 |
Mailing Telephone | 8056887070 |
Mailing Fax Number | 8056862060 |
Enumeration Date | 2006-02-13 |
Last Update Date | 2013-09-18 |
Authorized Official Name | MS. JENNIFER JASSO (FINACIAL SERVICES MANAGER) |
Authorized Official Telephone | 8056887070 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | FHC70024F | 05 | |
CA | BLUE SHIELD GROUP NUMBER | ZZZ-540482 | 01 |
Other Name | Type Code |
---|---|
Santa Ynez Tribal Health Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295002434 | Santa Ynez Band of Mission Indians | Community/Behavioral Health | 680 Alamo Pintado Ste 202, Solvang, CA 93463 | 2011-11-16 |
Street Address |
90 VIA JUANA LANE |
City | SANTA YNEZ |
State | CA |
Zip Code | 93460-9405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013320720 | Krista Kaye Armenta | Marriage & Family Therapist | 90 Via Juana Lane, Santa Ynez, CA 93460 | 2014-06-10 |
1619238367 | Mary Worrall Gallegos | Registered Nurse | 90 Via Juana Lane, C/o Santa Ynez Tribal Health Clinic, Santa Ynez, CA 93460 | 2012-05-30 |
1124304209 | Merlon Lorenzana Ramones | Registered Nurse | 90 Via Juana Lane, Santa Ynez, CA 93460 | 2011-11-02 |
1780968339 | Gregg Eric Lomas | Dental Hygienist | 90 Via Juana Lane, Santa Ynez, CA 93460 | 2011-09-30 |
1467758177 | Beate Gudrun Wolfe | Dentist | 90 Via Juana Lane, Santa Ynez Tribal Health Clinic, Santa Ynez, CA 93460 | 2011-01-28 |
1114250479 | Christopher Jay Link | Psychologist | 90 Via Juana Lane, Santa Ynez, CA 93460 | 2009-09-17 |
1952555906 | Pete Minjarez II | Dentist | 90 Via Juana Lane, Santa Ynez, CA 93460 | 2008-11-04 |
1902836703 | Cirilo Lagmay Adan Jr. | Dentist | 90 Via Juana Lane, Santa Ynez Tribal Health Clinic, Santa Ynez, CA 93460 | 2006-07-04 |
1861469306 | Guy C Markham | Dentist | 90 Via Juana Lane, Santa Ynez, CA 93460-9405 | 2006-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760668859 | Santa Ynez Valley People Helping People | Voluntary or Charitable | 2975 East Highway 246, Santa Ynez, CA 93460 | 2008-01-18 |
1326223355 | The Council On Alcoholism and Drug Abuse | Case Management | 3323 Pine Street, Santa Ynez, CA 93460 | 2008-01-09 |
1396920310 | The Council On Alcoholism and Drug Abuse | Early Intervention Provider Agency | 2975 E Highway 246, Santa Ynez, CA 93460 | 2008-01-09 |
1407031545 | Santa Ynez Valley People Helping People | Voluntary or Charitable | 2795 East Highway 246, Rm. P11-a & P11-f, Santa Ynez, CA 93460 | 2008-01-08 |
1326270794 | Gena Sands | Counselor | 2795 East Highway 246, Santa Ynez, CA 93460 | 2009-08-18 |
1427291681 | Julie Samuels-metheany | Marriage & Family Therapist | 3111 Cimarron Dr, Santa Ynez, CA 93460-9112 | 2009-04-16 |
1073501342 | James Edgar Hazard Jr. | Chiropractor | 3669 Sagunto St, Suite 106, Santa Ynez, CA 93460-9151 | 2005-10-11 |
1154420701 | Dwayne Arthur Elder | Dentist | 3669 Sagunto St, Ste. 102, Santa Ynez, CA 93460-9151 | 2006-09-21 |
1770708273 | Menachem Stein | Physical Therapist | 2850 Baseline Ave, Santa Ynez, CA 93460-9354 | 2007-04-17 |
1497865646 | Stars of Santa Ynez, Inc | Pharmacist | 3576 Madera St, Santa Ynez, CA 93460-9367 | 2006-08-30 |
Find all providers in zip 93460 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Find all providers with the same taxonomy |
City | SANTA YNEZ |
Zip Code | 93460 |
Please comment or provide details below to improve the information on SANTA YNEZ BAND OF MISSION INDIANS.
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.