Organization Active NPI

Central California Movement Disorders

  • Neurology Physician
  • Santa Barbara, CA
National Provider Identifier
1003577644
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CENTRAL CALIFORNIA MOVEMENT DISORDERS
Practice address
418 Chapala St Ste a
Santa Barbara, CA 93101-8055
Phone
(805) 295-5226
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brent Bluett, DONPI 1669772331
Title
President
Phone
(805) 295-5226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

418 Chapala St Ste a
Santa Barbara, CA 93101-8055

Mailing address

418 Chapala St Ste a
Santa Barbara, CA 93101-8055
Phone (805) 295-5226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309002575 CA Part B Supplier - Clinic/Group Practice 9830584861 Receives reassigned benefits from 1 practitioner
Practice locations: Calabasas, CA

National Provider Directory

National Provider Directory

Locations

4764 Park Granada
Ste 110
Calabasas, CA 91302
Phone (805) 295-5226

320 James Way
Ste 210
Pismo Beach, CA 93449
Phone (805) 779-7950

418 Chapala St
Ste A
Santa Barbara, CA 93101
Phone (805) 295-5226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745712000000",
    "number": "1003577644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CHAPALA ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018055",
            "telephone_number": "805-295-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CHAPALA ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018055",
            "telephone_number": "805-295-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CALIFORNIA MOVEMENT DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "BLUETT",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-295-5226",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.