| Santa Barbara Neighborhood Clinics | |
|
970 Embarcadero Del Mar Isla Vista CA 93117-4869 | |
| (805) 968-1511 | |
| (805) 968-7041 |
| Full Name | Santa Barbara Neighborhood Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 970 Embarcadero Del Mar, Isla Vista, California |
| Authorized Official Name and Position | Charles Camillo Fenzi (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8056177850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Barbara Neighborhood Clinics 915 N Milpas St 2nd Floor Santa Barbara CA 93103-2331 Ph: (805) 617-7858 | Santa Barbara Neighborhood Clinics 970 Embarcadero Del Mar Isla Vista CA 93117-4869 Ph: (805) 968-1511 |
| NPI Number | 1265458434 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 03/03/2016 |
| Medicare PECOS PAC ID | 3870550247 |
|---|---|
| Medicare Enrollment ID | O20041216001047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265458434 | NPI | - | NPPES |
| FHC70097G | Medicaid | CA | |
| CLN 1073 | Other | CA | BOARD OF PHARMACY CLINIC PERMIT |
| HAP70097G | Other | CA | FAMILYPACT PROVIDER NUMBE |
| 05D0584453 | Other | CA | CLIA |
| BCP70097G | Medicaid | CA | |
| CLP 303897 | Other | CA | DHS LAB REGISTRATION NUMBER |
| 05-0000089 | Other | CA | COMMUNITY CLINIC LICENSE |
| 167273 | Other | CA | CCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 050000089 (California) | Primary |
| Provider Name | Charles Ashley Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295781359 PECOS PAC ID: 8325037849 Enrollment ID: I20041223000149 |
| Provider Name | Dennis Hugh Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669419602 PECOS PAC ID: 8628018710 Enrollment ID: I20050509000363 |
| Provider Name | William A Okerblom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396893046 PECOS PAC ID: 5193765907 Enrollment ID: I20050510001231 |
| Provider Name | Kristin Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861554552 PECOS PAC ID: 3577505916 Enrollment ID: I20050526001058 |
| Provider Name | Elizabeth A Toro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316009285 PECOS PAC ID: 8820033665 Enrollment ID: I20050622001177 |
| Provider Name | William Joel Paule |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1750318432 PECOS PAC ID: 1153427943 Enrollment ID: I20070511000287 |
| Provider Name | Susan Lawton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659390110 PECOS PAC ID: 6103815824 Enrollment ID: I20091226000028 |
| Provider Name | Ali Javanbakht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710097621 PECOS PAC ID: 1850583964 Enrollment ID: I20101007000931 |
| Provider Name | Vanessa Ann Atyabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184026338 PECOS PAC ID: 7618199365 Enrollment ID: I20141112001652 |
| Provider Name | Sharon Leitzel Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053729012 PECOS PAC ID: 6800118902 Enrollment ID: I20141126001682 |
| Provider Name | Steven Carroll Busselen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689787202 PECOS PAC ID: 1456402254 Enrollment ID: I20150429001922 |
| Provider Name | Kendra Lyn Wiggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679721609 PECOS PAC ID: 0244400281 Enrollment ID: I20150611003461 |
| Provider Name | Anupama Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346373990 PECOS PAC ID: 7911218698 Enrollment ID: I20150622002146 |
| Provider Name | Melissa J Ruiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376795377 PECOS PAC ID: 6800017625 Enrollment ID: I20151231001148 |
| Provider Name | Danica Kari Lomeli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699119511 PECOS PAC ID: 2163720467 Enrollment ID: I20160420001246 |
| Provider Name | Amy Jo Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487807814 PECOS PAC ID: 6204132319 Enrollment ID: I20180521001332 |
| Provider Name | Susan Allison Mayer-oakes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902916059 PECOS PAC ID: 5294056008 Enrollment ID: I20180523001974 |
| Provider Name | William Joel Paule |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750318432 PECOS PAC ID: 1153427943 Enrollment ID: I20181204001667 |
| Provider Name | Chelsea L Dean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023469335 PECOS PAC ID: 8527396399 Enrollment ID: I20190819002227 |
| Provider Name | Marie Claire Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245693639 PECOS PAC ID: 2466746797 Enrollment ID: I20191112002228 |
| Provider Name | Motoko Abraham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033180898 PECOS PAC ID: 7810952280 Enrollment ID: I20200225001247 |
| Provider Name | Kyra Pelz Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144840612 PECOS PAC ID: 5698106557 Enrollment ID: I20200508000146 |
| Provider Name | Adrianna J Dangremond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508802828 PECOS PAC ID: 8628000544 Enrollment ID: I20200625001764 |
| Provider Name | Clarence Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265456586 PECOS PAC ID: 7911099866 Enrollment ID: I20200626001572 |
| Provider Name | Sebastian Pablo Lebeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013422864 PECOS PAC ID: 7113347782 Enrollment ID: I20201020002344 |
| Provider Name | Bonnie Jeanne Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932196649 PECOS PAC ID: 0941199186 Enrollment ID: I20210309002443 |
| Provider Name | Arete Arredondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669994406 PECOS PAC ID: 3577835065 Enrollment ID: I20210603002060 |
| Provider Name | Deniz Doruk Camsari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043674716 PECOS PAC ID: 5890087951 Enrollment ID: I20210913000784 |
| Provider Name | Kavitha Sri Vemuri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649658261 PECOS PAC ID: 0840539235 Enrollment ID: I20220105002454 |
| Provider Name | Kalia Marie Rothlind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801412507 PECOS PAC ID: 4880081702 Enrollment ID: I20220425000689 |
| Provider Name | Alicia Guajardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861862633 PECOS PAC ID: 6406232982 Enrollment ID: I20221006001960 |
| Provider Name | Jesse Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548791155 PECOS PAC ID: 4486014545 Enrollment ID: I20230720002336 |
| Provider Name | Julia Victoria Solemar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932565751 PECOS PAC ID: 5597091363 Enrollment ID: I20230928004112 |
| Provider Name | Glenn Delcarmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205976685 PECOS PAC ID: 3173717311 Enrollment ID: I20231228000762 |
| Provider Name | Maria-jose Martirene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306095013 PECOS PAC ID: 0446603005 Enrollment ID: I20240130003245 |
| Provider Name | Maria Jose Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861050460 PECOS PAC ID: 8820431703 Enrollment ID: I20240207002993 |
| Provider Name | Chelsea Sumida Gipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659833473 PECOS PAC ID: 5193180222 Enrollment ID: I20240209002878 |
| Provider Name | Ryan Hagarman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528471216 PECOS PAC ID: 1759734593 Enrollment ID: I20240214002319 |
| Provider Name | Sophie Mengele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942075973 PECOS PAC ID: 7810331956 Enrollment ID: I20240216003048 |
| Provider Name | Maria Lorena Bracho |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336797661 PECOS PAC ID: 2961848189 Enrollment ID: I20240311002220 |
| Provider Name | Amy Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740980200 PECOS PAC ID: 7012355316 Enrollment ID: I20240405000913 |
| Provider Name | Alexandra Quinn Marin Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497399315 PECOS PAC ID: 9739529546 Enrollment ID: I20240426001977 |
| Provider Name | Santiago Munoz Briones |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639859838 PECOS PAC ID: 9133569403 Enrollment ID: I20240503000596 |
| Provider Name | Tarik Phillip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326291865 PECOS PAC ID: 8921322736 Enrollment ID: I20240506004110 |
| Provider Name | Craig Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043291495 PECOS PAC ID: 8820068125 Enrollment ID: I20240514003420 |
| Provider Name | Guille Freschl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306423694 PECOS PAC ID: 6204277726 Enrollment ID: I20240515003039 |
| Provider Name | Zeda Amaya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417903428 PECOS PAC ID: 3375674815 Enrollment ID: I20240522002048 |
| Provider Name | Cammie Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467282814 PECOS PAC ID: 7416482229 Enrollment ID: I20241202003723 |
| Provider Name | Danielle Denise Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013739705 PECOS PAC ID: 4587199336 Enrollment ID: I20241203001475 |
| Provider Name | Eileen Gail Walko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982757563 PECOS PAC ID: 2264862358 Enrollment ID: I20250520004452 |
Santa Barbara Neighborhood Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Embarcadero Del Mar, Isla Vista, CA 93117 Phone: 805-617-7858 Fax: 805-968-7041 | |
Santa Barbara Neighborhood Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Embarcadero Del Mar, Isla Vista, CA 93117 Phone: 805-968-1511 Fax: 805-968-7041 |