SANTA YNEZ BAND OF MISSION INDIANS


Address: 90 Via Juana Lane, Santa Ynez, CA 93460-9405
Phone: 8056887070

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA FHC70024F 05
CA BLUE SHIELD GROUP NUMBER ZZZ-540482 01

Other Provider/Organization Names

Other Name Type Code
Santa Ynez Tribal Health Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 90 VIA JUANA LANE
City SANTA YNEZ
State CA
Zip Code 93460-9405

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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Competitor

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City SANTA YNEZ
Zip Code 93460

Improve Information

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Dataset Information

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.

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