Active NPI
Rebecca Cervantes
- Addiction (Substance Use Disorder) Counselor
- Santa Barbara, CA
National Provider Identifier
1134440746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4129 State St
Santa Barbara, CA 93110-1848 - Phone
- (805) 964-4795
- NPI assigned
- Jun 17, 2010
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4129 State St
Santa Barbara, CA 93110-1848
Mailing address
4759 Loma Vista Rd
Ventura, CA 93003-2001
Phone (805) 415-1614
Other practice location 1
1756 S Lewis Rd
Camarillo, CA 93012-8520
Phone (805) 383-3669 ext. 203
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174400000X | Other | CA | OTHER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2018.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1134440746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4759 LOMA VISTA RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032001",
"telephone_number": "805-415-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4129 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101848",
"telephone_number": "805-964-4795"
}
],
"practiceLocations": [
{
"address_1": "1756 S Lewis Rd",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930128520",
"country_code": "US",
"telephone_number": "805-383-3669 x203",
"fax_number": "805-383-3692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERVANTES",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "174400000X",
"state": "CA"
}
],
"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 Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.