| American Indian Health & Services Corporation | |
| 
					4141 State St Ste B11 Santa Barbara CA 93110-1898  | |
| (805) 681-7356 | |
| (805) 681-7358 | 
| Full Name | American Indian Health & Services Corporation | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 4141 State St Ste B11, Santa Barbara, California | 
| Authorized Official Name and Position | Deonna Elizabeth Perez (COO) | 
| Authorized Official Contact | 8056034059 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| American Indian Health & Services Corporation 3227 State St Santa Barbara CA 93105-3328 Ph: (805) 681-7356  | American Indian Health & Services Corporation 4141 State St Ste B11 Santa Barbara CA 93110-1898 Ph: (805) 681-7356  | 
| NPI Number | 1740222934 | 
|---|---|
| Provider Enumeration Date | 06/12/2006 | 
| Last Update Date | 09/06/2022 | 
| Medicare PECOS PAC ID | 3375527880 | 
|---|---|
| Medicare Enrollment ID | O20040614001054 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740222934 | NPI | - | NPPES | 
| EAP70786F | Other | CA | EAPC PROGRAM | 
| FHC70786F | Medicaid | CA | |
| BCP70786F | Other | CA | CANCER DETECTION PROGRAM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 50000515 (California) | Primary | 
| Provider Name | Hollanda A Leon | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1285619130 PECOS PAC ID: 8426032921 Enrollment ID: I20040614000985  | 
| Provider Name | Bradley Hope | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1003854571 PECOS PAC ID: 5698788636 Enrollment ID: I20060717000222  | 
| Provider Name | Jennifer Hone | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1104823954 PECOS PAC ID: 8224021050 Enrollment ID: I20090911000094  | 
| Provider Name | Kim Langell Peters | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1972617926 PECOS PAC ID: 6204965635 Enrollment ID: I20100524000719  | 
| Provider Name | Ali Javanbakht | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1710097621 PECOS PAC ID: 1850583964 Enrollment ID: I20101007000931  | 
| Provider Name | Ashley Henderson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104258268 PECOS PAC ID: 6800011529 Enrollment ID: I20140711002058  | 
| Provider Name | Tina Rose Schukart | 
|---|---|
| Provider Type | Practitioner - Physician Assistant | 
| Provider Identifiers | NPI Number: 1346526373 PECOS PAC ID: 8628293206 Enrollment ID: I20140716000710  | 
| Provider Name | Stacey Breshears | 
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional | 
| Provider Identifiers | NPI Number: 1619342573 PECOS PAC ID: 9234431438 Enrollment ID: I20160105001988  | 
| Provider Name | Nicole Kathleen Martinez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1912449059 PECOS PAC ID: 5092096677 Enrollment ID: I20161220001923  | 
| Provider Name | Paul Dietrich Hennig | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1619382504 PECOS PAC ID: 9830458272 Enrollment ID: I20180110003529  | 
| Provider Name | Elsa Quintana Buenrostro | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1992041768 PECOS PAC ID: 2163766981 Enrollment ID: I20181205003222  | 
| Provider Name | Holly Elizabeth Romine | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1619524626 PECOS PAC ID: 4284966714 Enrollment ID: I20191101000673  | 
| Provider Name | Camtu Le | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1124575410 PECOS PAC ID: 1557795630 Enrollment ID: I20191224000120  | 
| Provider Name | Jennifer F Sidhwa | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1053661496 PECOS PAC ID: 6002244613 Enrollment ID: I20200313001400  | 
| Provider Name | Sharon Orlina Vargas | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1144698648 PECOS PAC ID: 7517382112 Enrollment ID: I20200729003393  | 
| Provider Name | Maria M Limon | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1750758587 PECOS PAC ID: 1557755998 Enrollment ID: I20220228002198  | 
| Provider Name | April Leanne Calderon | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1174260459 PECOS PAC ID: 4082092184 Enrollment ID: I20220614002249  | 
| Provider Name | Christopher Jay Link | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1114250479 PECOS PAC ID: 0446616429 Enrollment ID: I20230517001212  | 
| Provider Name | Jonnie Reinhold Williams | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1912281635 PECOS PAC ID: 1759742521 Enrollment ID: I20230727000683  | 
| Provider Name | Nicole Faraj Kashani | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1629635743 PECOS PAC ID: 4981059433 Enrollment ID: I20231018002579  | 
| Provider Name | Molly Anne Stanfill | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659106110 PECOS PAC ID: 2668913807 Enrollment ID: I20240916001791  | 
| Provider Name | Lezly Alejandra Zavala | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1437718509 PECOS PAC ID: 8729505482 Enrollment ID: I20250506002186  | 
Allen J Thomashefsky, Md, A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Bath St Ste 301, Santa Barbara, CA 93105 Phone: 805-962-2662 Fax: 805-569-5670  | |
Recovery Road Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 State Street, Santa Barbara, CA 93101 Phone: 805-962-7800 Fax: 805-962-9002  | |
Milpas Medical Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 N Milpas St, Santa Barbara, CA 93103 Phone: 805-965-8284 Fax: 805-962-0429  | |
Jeffrey R. Polito M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 334 S Patterson Ave, Santa Barbara, CA 93111 Phone: 805-681-1490 Fax: 805-681-1593  | |
Gary M Van Deventer Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Pueblo St, Suite B, Santa Barbara, CA 93105 Phone: 805-563-0024 Fax: 805-563-1454  | |
Deleys Brandman Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 Glendessary Ln, Santa Barbara, CA 93105 Phone: 415-819-3138  | |
Santa Barbara Neighborhood Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 N Milpas St, Santa Barbara, CA 93103 Phone: 805-963-1641 Fax: 805-962-6616  |