Active NPI
Victoria Clark Juarez
- Pharmacist
- Goleta, CA
National Provider Identifier
1124481080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65140
- Practice address
- 7095 Market Place Dr
Goleta, CA 93117-5905 - Phone
- (805) 685-4141
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 65140 | CA | |
| Pharmacist | 183500000X | 65140 | CA | Primary |
Addresses
Primary practice location
7095 Market Place Dr
Goleta, CA 93117-5905
Mailing address
7095 Market Place Dr
Santa Barbara, CA 93117-5905
Phone (805) 685-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65140 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683331200000",
"number": "1124481080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7095 MARKET PLACE DR",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931175905",
"telephone_number": "805-685-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7095 MARKET PLACE DR",
"city": "GOLETA",
"state": "CA",
"postal_code": "931175905",
"telephone_number": "805-685-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "VICTORIA",
"middle_name": "CLARK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2023-05-06",
"certification_date": "2022-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "65140",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.