De Marillac LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

DE MARILLAC LLC

Doing business as

Fr. Virgil Cordano Center

Practice address

4020 Calle Real
Santa Barbara, CA 93110-4052

Phone

(805) 563-1051

Fax

(805) 563-1046

NPI assigned

Jun 14, 2023

Organization subpart

Yes

Parent organization

ST. VINCENT'S INSTITUTIONAs reported in NPPES

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

Authorized official

Name

Rosa Paredes

Title

Coo

Phone

(805) 683-6381

Specialties & licenses 1

Addresses

Other names 1

• Fr. Virgil Cordano Center Doing business as

Part of

St Vincents School

Locations

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1144904681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101454",
            "telephone_number": "805-683-6381",
            "fax_number": "805-967-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931104052",
            "telephone_number": "805-563-1051",
            "fax_number": "805-563-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE MARILLAC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT'S INSTITUTION",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "805-683-6381"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fr. Virgil Cordano Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daira De Jesus Roman
• Alfred Andrew De la Cerda II
• Liliana De la Rocha, LMFT 116842
• Nicol De la Rosa
• Jessica Rose De Leon
• Joseph Gregoire De Roulhac, M.A., LMFT
• Kiyomi De Zoysa
• John Mark Deacon, M.D.
• Kyle Quimby Deacon, MD
• Maria Dealba

• Supports Brokerage Agency in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.