ISLA VISTA NEIGHBORHOOD CLINIC (SANTA BARBARA NEIGHBORHOOD CLINICS) NPI 1023295920

Clinic/Center (Federally Qualified Health Center (FQHC)) in Isla Vista, CA

NPI 1023295920 Organization Clinic/Center Federally Qualified Health Center (FQHC)

About ISLA VISTA NEIGHBORHOOD CLINIC (SANTA BARBARA NEIGHBORHOOD CLINICS)

Isla Vista Neighborhood Clinic (santa Barbara Neighborhood Clinics) is a primary care provider established in Isla Vista, California specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of Isla Vista Neighborhood Clinic (santa Barbara Neighborhood Clinics) is 1023295920 and was assigned on January 2008. The practitioner's primary taxonomy code is 261QF0400X with license number 050000089 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Isla Vista Neighborhood Clinic. The authorized official of this NPI record is Ms. Leslie Ann Kearney (Qi & Compliance Manager)

A primary care provider (PCP) like Isla Vista Neighborhood Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1023295920

Provider NameISLA VISTA NEIGHBORHOOD CLINIC (SANTA BARBARA NEIGHBORHOOD CLINICS)
Provider Location Address970 EMBARCADERO DEL MAR ISLA VISTA, CA 93117
Provider Mailing Address915 N MILPAS ST 2ND FLOOR SANTA BARBARA, CA 93103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameISLA VISTA NEIGHBORHOOD CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date01-23-2008
Last Update Date10-23-2013


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)
License No.050000089
License StateCA

Business Address

ISLA VISTA NEIGHBORHOOD CLINIC
970 EMBARCADERO DEL MAR
ISLA VISTA, CA
ZIP 93117
Phone: (805) 617-7858
Fax: (805) 968-7041

Get Directions


Mailing Address

ISLA VISTA NEIGHBORHOOD CLINIC
915 N MILPAS ST
2ND FLOOR
SANTA BARBARA, CA
ZIP 93103
Phone: (805) 617-7858
Fax: (805) 963-8880



Authorized Official

Authorized Official NameMS. LESLIE ANN KEARNEY
Authorized Official TitleQI & COMPLIANCE MANAGER
Authorized Official Phone

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
BCP70097GOTHER (01)CA

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134776776MS. ALANA LEE RINGWALD FNP-BC
Individual
Family Medicine970 EMBARCADERO DEL MAR
ISLA VISTA, CA 93117
(805) 968-1511
1144840612 KYRA PELZ-WALSH FNP-C
Individual
Family Medicine970 EMBARCADERO DEL MAR
ISLA VISTA, CA 93117
(805) 968-1511
1154374122 STEPHEN A DANIELS MD
Individual
Emergency Medicine970 EMBARCADERO DEL MAR
ISLA VISTA, CA 93117
(805) 968-1511
1255417895MS. ALISSA SHATTENBERG FNP
Individual
Nurse Practitioner (Family)970 EMBARCADERO DEL MAR
ISLA VISTA, CA 93117
(805) 968-1511
1265458434SANTA BARBARA NEIGHBORHOOD CLINICS
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))970 EMBARCADERO DEL MAR
ISLA VISTA, CA 93117
(805) 968-1511
1467521872DR. ANDRIA BARNES RUTH M.D.
Individual
Pediatrics970 EMBARCADERO DEL MAR
ISLA VISTA, CA 93117
(805) 617-7858
1851853170MS. LISA CATHERINE HUMME KIEFER FNP
Individual
Family Medicine970 EMBARCADERO DEL MAR
GOLETA, CA 93117
(805) 617-7850
1871827295MRS. RENAE JEAN O'KEEFFE NP
Individual
Nurse Practitioner (Family)970 EMBARCADERO DEL MAR
ISLA VISTA, CA 93117
(805) 968-1511
1942487848SANTA BARBARA NEIGHBORHOOD CLINICS
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))970 EMBARCADERO DEL MAR
ISLA VISTA, CA 93117
(805) 968-1511

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.