SANTA YNEZ TRIBAL HEALTH CLINIC
NPI 1992779417
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Ynez, CA

Active since February 13, 2006CLIA 05D0868645 · Waiver
90 VIA JUANA LANE, SANTA YNEZ, CA 93460(805) 688-7070(805) 686-2060 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Santa Ynez Tribal Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA YNEZ TRIBAL HEALTH CLINIC (NPI 1992779417) is a healthcare organization registered as a federally qualified health center (fqhc) in Santa Ynez, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Jennifer Jasso, Finacial Services Manager, as its authorized official.

NPPES Registry Identity

NPI1992779417
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSANTA YNEZ BAND OF MISSION INDIANS
Location Address90 VIA JUANA LANESanta Ynez, CA 93460-9405
Mailing AddressPo Box 539Santa Ynez, CA 93460-0539 · (805) 688-7070 · Fax (805) 686-2060
Fax(805) 686-2060
Organization SubpartNo
Authorized OfficialJennifer JassoFinacial Services Manager · (805) 688-7070
Enumeration DateFebruary 13, 2006
Last NPPES UpdateSeptember 18, 2013
✔ NPI 1992779417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
90 VIA JUANA LANE, Santa Ynez, CA 93460

Other Names 1

Doing Business AsSanta Ynez Tribal Health Clinic

Other Identifiers 3

Medicare ID-Type Unspecified051903CA · Medicare Group Number
OtherZZZ-540482CA · Blue Shield Group Number
MedicaidFHC70024FCA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santa Ynez Tribal Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Santa Ynez Tribal Health Clinic, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Family Practice
NPI 1073572426
90 VIA JUANA RD
Santa Ynez, CA 93460
(805) 688-7070
✔ PECOS✔ Accepts Medicare0.1 mi
Marriage and Family Therapist
NPI 1396467130
90 VIA JUANA
Santa Ynez, CA 93460
(805) 688-7070
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1255543872
540 ALISAL RD SUITE 3
Solvang, CA 93463
(805) 245-2916
✔ PECOS✔ Accepts Medicare2.6 mi
Chiropractic
NPI 1750387882
90 W. HWY 246 #1
Buellton, CA 93427
(805) 688-5545
✔ Accepts Medicare5.7 mi
Marriage and Family Therapist
NPI 1093965824
401 E OCEAN AVE
Lompoc, CA 93436
(805) 714-2653
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1720602543
4850 S BRADLEY RD STE A2
Orcutt, CA 93455
(805) 937-9532
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1215227244
2115 CENTERPOINTE PKWY
Santa Maria, CA 93455
(805) 346-7230
✔ PECOS29 mi
Internal Medicine
NPI 1790247831
3160 FOLSOM BLVD STE 2500
Sacramento, CA 95816
(916) 734-7777
✔ PECOS✔ Accepts Medicare284 mi
Family Practice
NPI 1295722718
6367 E TANQUE VERDE ROAD SUITE 200
Tucson, AZ 85715
(520) 290-5888
✔ PECOS✔ Accepts Medicare558 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0868645

Santa Ynez Tribal Health Clinic · Santa Ynez, CA
Active · expires Jun 20, 2027
CLIA Number05D0868645
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorTeresa Chang
Laboratory Phone(805) 686-7070
Laboratory LocationSanta Ynez Tribal Health Clinic90 Via Juana Rd, Santa Ynez, CA 93460
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Santa Ynez Band Of Mission Indians's NPI number?

The NPI number for Santa Ynez Band Of Mission Indians is 1992779417. It was assigned to this organization in the NPPES registry on February 13, 2006. The provider is doing business as Santa Ynez Tribal Health Clinic.

Where is Santa Ynez Band Of Mission Indians located?

Santa Ynez Band Of Mission Indians is located at 90 Via Juana Lane, Santa Ynez, CA 93460. The listed phone number is (805) 688-7070.

What is Santa Ynez Band Of Mission Indians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Santa Ynez Band Of Mission Indians enrolled in Medicare?

Yes. Santa Ynez Band Of Mission Indians is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santa Ynez Band Of Mission Indians?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 6 Medicare specialties reassign their Medicare billing to Santa Ynez Band Of Mission Indians. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Marriage and Family Therapist (2) and Chiropractic (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Santa Ynez Band Of Mission Indians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0868645) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Santa Ynez Band Of Mission Indians accept?

Health plans from UnitedHealthcare list Santa Ynez Band Of Mission Indians as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Santa Ynez Band Of Mission Indians was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.