NPIMap

Organization Active NPI

Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
National Provider Identifier
1144648015
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SANSUM CLINIC
Practice address
4151 Foothill Rd
Santa Barbara, CA 93110-1110
Phone
(805) 681-7761
Fax
(805) 681-1768
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Chad Hine
Title
Chief Financial Officer
Phone
(805) 681-7709

Specialties & licenses 1

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

Addresses

Primary practice location

4151 Foothill Rd
Santa Barbara, CA 93110-1110

Mailing address

PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 681-7761

Other names 1

  • Foothill Surgery Center at Sansum Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622000548 CA Part B Supplier - Ambulatory Surgical Center 3678471976 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Barbara, CA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Sansum Clinic Dba Foothill Surgery Center at Sansum ClinicCCN 05C0002055
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Sansum Santa Barbara Me4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

271 N Fairview Ave
Ste 104
Goleta, CA 93117
Phone (805) 685-1755

1017 E Ocean Ave
Ste A
Lompoc, CA 93436

1017 E Ocean Ave
Ste B
Lompoc, CA 93436
Phone (805) 735-7525

27 E Canon Perdido St
Santa Barbara, CA 93101
Phone (805) 681-1711

319 Anacapa St
Santa Barbara, CA 93101
Phone (805) 898-1907

334 S Patterson Ave
Ste 100
Santa Barbara, CA 93111
Phone (805) 681-6424

1414 S Miller St
Ste H
Santa Maria, CA 93454
Phone (805) 434-1408

Practitioners & affiliated clinicians

Practitioners 492

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 492

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1144648015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62106",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931602106",
            "telephone_number": "805-681-7761",
            "fax_number": "805-681-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 FOOTHILL RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101110",
            "telephone_number": "805-681-7761",
            "fax_number": "805-681-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANSUM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "HINE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "805-681-7709"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Surgery Center at Sansum Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.