MARAVILLA
NPI 1477795144
Assisted Living Facility in Santa Barbara, CA
About Maravilla NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARAVILLA (NPI 1477795144) is a healthcare organization registered as an assisted living facility in Santa Barbara, California and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists J Wickliffe Peterson, Executive Vice Presid, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2204246
Maravilla · Goleta, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sp Maravilla LLC's NPI number?
The NPI number for Sp Maravilla LLC is 1477795144. It was assigned to this organization in the NPPES registry on March 27, 2009. The provider is doing business as Maravilla.
Where is Sp Maravilla LLC located?
Sp Maravilla LLC is located at 5486 Calle Real, Santa Barbara, CA 93111. The listed phone number is (805) 967-1965.
What is Sp Maravilla LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Sp Maravilla LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2204246) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sp Maravilla LLC was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maravilla · NPI 1477795144
Assisted Living Facility organization in Santa Barbara, California. Organization record, active in the CMS NPPES registry since March 27, 2009.
## Identity
- **NPI:** 1477795144 (Entity type: Organization)
- **Enumerated:** March 27, 2009
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Sp Maravilla Llc
- **Organization subpart:** No
- **Authorized official:** J Peterson, EXECUTIVE VICE PRESID
## Practice location
- **Address:** 5486 CALLE REAL, Santa Barbara, CA 93111-1645
- **Phone:** (805) 967-1965
## Record status
- **NPPES last updated:** March 27, 2009
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1477795144) · Data from the CMS NPPES public registry.