1861607228 NPI number — SANTA BARBARA NEIGHBORHOOD CLINICS

Table of content: (NPI 1861607228)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861607228 NPI number — SANTA BARBARA NEIGHBORHOOD CLINICS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SANTA BARBARA NEIGHBORHOOD CLINICS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861607228
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
915 N MILPAS ST
Provider Second Line Business Mailing Address:
2ND FLOOR
Provider Business Mailing Address City Name:
SANTA BARBARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93103-2331
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-617-7858
Provider Business Mailing Address Fax Number:
805-963-8880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
915 N MILPAS ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103-2331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-617-7858
Provider Business Practice Location Address Fax Number:
805-963-8880
Provider Enumeration Date:
05/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BREUNINGER
Authorized Official First Name:
TRULA
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
INTERIM CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
805-617-7850

Provider Taxonomy Codes

  • Taxonomy code: 261QC1500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1578740007 . This is a "EVERY WOIMAN COUNTS EASTSIDE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1679997852 . This is a "FACILITY NPI 1679997852" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1790109692 . This is a "EVERY WOMAN COUNTS NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1942487848 . This is a "FAMILYPACT NPI ISLA VISTA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: BCP12002G . This is a "CDP PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1598942492 . This is a "EVERY WOMAN COUNTS NPI WESTSIDE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1770760670 . This is a "FAMILYPACT NPI EASTSIDE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: BCP70097G . This is a "CDP PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: CLN 1073 . This is a "BOARD OF PHARMACY CLINIC PERMIT" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: CLN 1074 . This is a "BOARD OF PHARMACY CLINIC PERMIT" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1023295920 . This is a "EVERY WOMAN COUNTS ISLA VISTA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: HAP70097G . This is a "FAMPACT PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: BCP70114G . This is a "CDP PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: FHC70097G , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HAP12002G . This is a "FAMPACT PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: HAP70114G . This is a "FAMPACT PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 05D0584540 . This is a "CLIA LICENSE NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1215351705 . This is a "FAMILYPACT NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1407033301 . This is a "FAMILYPACT NPI WESTSIDE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: FHC12002G , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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