Healthstat Wellness County of Santa Barbara Headquarters
Organization Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Santa Barbara, CA
NPI 1194373530 · NPPES record last updated Aug 29, 2019
Key facts
- NPI
- 1194373530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
- Legal business name
- HEALTHSTAT WELLNESS COUNTY OF SANTA BARBARA HEADQUARTERS
- Practice address
- 427 Camino del Remedio BLDG G
Santa Barbara, CA 93110-1310 - Phone
- (704) 936-5546
- NPI assigned
- Aug 29, 2019
- Organization subpart
- No
Authorized official
- Name
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Corporate family (same tax ID) 13
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2001930 | County of Santa Barbara County-Headquarters | Certificate of waiver | Jan 3, 2028 |
National Provider Directory
- Tax ID family
- Healthstat Wellness Amick Farms Batesburg
Locations
427 Camino del Remedio
Bldg G
Santa Barbara, CA 93110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician |
2083P0500X | Yes |
Addresses
Primary practice location
427 Camino del Remedio BLDG G
Santa Barbara, CA 93110-1310
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Phone (704) 936-5546
Other providers in Santa Barbara, CA
- Ivan Hayward
- Ulrike M Hayward
- Amy Inez Hazard
- William L Hazard
- Kimberly Cole Hazlewood
- Hearing Concierge of Montecito Audiology, Apc
- Hearing Consultants of California
- Hearing Services of California, Inc.
- Heart of Gold Physical Therapy, Inc.
- Hearts Aligned Inc.
All providers in Santa Barbara, CA · Preventive Medicine/Occupational Environmental Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.