Active NPI
Central Coast Critical Care Associates
- Specialist
- Santa Barbara, CA
National Provider Identifier
1083160808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CENTRAL COAST CRITICAL CARE ASSOCIATES
- Practice address
- 400 W Pueblo St
Santa Barbara, CA 93105-4353 - Phone
- (805) 682-2775
- Fax
- (805) 563-3680
- NPI assigned
- Aug 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noah Stites-Hallett, MD
- Title
- Administrator
- Phone
- (805) 682-2775
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
400 W Pueblo St
Santa Barbara, CA 93105-4353
Mailing address
5662 Calle Real
#248
Goleta, CA 93117-2317
Phone (805) 682-2775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161215000362 | CA | Part B Supplier - Clinic/Group Practice | 9133409881 |
Receives reassigned benefits from 8 practitioners Practice locations: Santa Barbara, CA |
National Provider Directory
National Provider DirectoryLocations
5662 Calle Real
Santa Barbara, CA 93117
Phone (805) 869-2773
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Santa Maria, CA
- NPI 1518166222
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1083160808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5662 CALLE REAL",
"address_2": "#248",
"city": "GOLETA",
"state": "CA",
"postal_code": "931172317",
"telephone_number": "805-682-2775",
"fax_number": "805-563-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W PUEBLO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054353",
"telephone_number": "805-682-2775",
"fax_number": "805-563-3680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL COAST CRITICAL CARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "STITES-HALLETT",
"authorized_official_first_name": "NOAH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "805-682-2775",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
- Center for Developmental Play and Learning Inc
- Center for Psychotherapy & Integrative Health, a Marriage & Family the
- Center for Successful Aging
- Central California Movement Disorders
- Central Coast Cardiovascular Group Inc
- Central Coast Eating Disorder Program Services and Workshop
- Central Coast Mens Health LLC
- Central Coast Movement Disorders Specialists
- Central Coast Orthopedic Supply
- Central Coast Pediatric Hematology Oncology Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.