SANTA BARBARA NEIGHBORHOOD CLINICS NPI 1063438232

NPI Information

NPI: 1063438232
Provider Name: SANTA BARBARA NEIGHBORHOOD CLINICS

Doing Business As: EASTSIDE NEIGHBORHOOD CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
915 N MILPAS ST
SANTA BARBARA, CA
ZIP 93103
Phone: (805) 963-1641
Get Directions

SANTA BARBARA NEIGHBORHOOD CLINICS is a federally qualified health center (fqhc) clinic center in Santa Barbara, CA. SANTA BARBARA NEIGHBORHOOD CLINICS NPI is 1063438232. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastside Neighborhood Clinic.

The provider's business location address is:

915 N MILPAS ST
SANTA BARBARA, CA
ZIP 93103-331
Phone: (805) 963-1641
Fax: (805) 962-6616

The provider's authorized official is Charles Camillo Fenzi .
The authorized official title is Chief Executive Officer and has the following contact phone number (805) 617-7850.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 3/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	050000113	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W15965	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PROVIDER NUMBER
2	CLP 303897	OTHER	CALIFORNIA	DHS LAB REGISTRATION NUMBER
3	050000113	OTHER	CALIFORNIA	COMMUNITY CLINIC LICENSE
4	05D0584453	OTHER	CALIFORNIA	CLIA NUMBER
5	168904	OTHER	CALIFORNIA	CCS
6	HAP70114G	OTHER	CALIFORNIA	FAMPACT LEGACY NUMBER
7	CLN 1072	OTHER	CALIFORNIA	BOARD OF PHARMACY CLINIC PERMIT
8	EAP70114G	OTHER	CALIFORNIA	EAPC PROVIDER NUMBER
9	BCP70114G	OTHER	CALIFORNIA	CDP PROVIDER NUMBER
10	FHC70114G	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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