Organization Active NPI

Santa Barbara Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
National Provider Identifier
1023191822
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
050000560 Issued in CA
Legal business name
SANTA BARBARA SURGERY CENTER LP
Practice address
3045 De la Vina St
Santa Barbara, CA 93105-3351
Phone
(805) 569-3226
NPI assigned
Oct 23, 2006
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Christi Ann Carlson
Title
Business Office Manager
Phone
(805) 569-2176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 050000560 CA Primary

Addresses

Primary practice location

3045 De la Vina St
Santa Barbara, CA 93105-3351

Mailing address

1921 State St
Suite B
Santa Barbara, CA 93101-2421
Phone (805) 569-2176

Other identifiers 1

IdentifierTypeStateIssuer
S051529BOtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000776 CA Part B Supplier - Ambulatory Surgical Center 0648341230 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Barbara, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

Dept LA 23679
Pasadena, CA 91185

1921 State St
Ste B
Santa Barbara, CA 93101
Phone (805) 895-6664

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1023191822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 STATE ST",
            "address_2": "SUITE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012421",
            "telephone_number": "805-569-2176",
            "fax_number": "805-569-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053351",
            "telephone_number": "805-569-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CHRISTI ANN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "805-569-2176"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "050000560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S051529B",
            "state": null
        }
    ],
    "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 Jun 30, 2014; 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.