NPIMap

Organization Active NPI

Santa Barbara Neighborhood Clinics

Doing business as Isla Vista Neighborhood Clinic

  • Federally Qualified Health Center (FQHC)
  • Isla Vista, CA
National Provider Identifier
1265458434
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
050000089 Issued in CA
Legal business name
SANTA BARBARA NEIGHBORHOOD CLINICS
Doing business as
Isla Vista Neighborhood Clinic
Practice address
970 Embarcadero del Mar
Isla Vista, CA 93117-4869
Phone
(805) 968-1511
Fax
(805) 968-7041
NPI assigned
Jul 14, 2006
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SANTA BARBARA NEIGHBORHOOD CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Mahdi Ashrafian
Title
Chief Executive Officer
Phone
(805) 617-7855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 050000089 CA Primary

Addresses

Primary practice location

970 Embarcadero del Mar
Isla Vista, CA 93117-4869

Mailing address

915 N Milpas St
2ND Floor
Santa Barbara, CA 93103-2331
Phone (805) 617-7858

Other identifiers 8

IdentifierTypeStateIssuer
FHC70097GMedicaidCA
CLN 1073OtherCABOARD OF PHARMACY CLINIC PERMIT
HAP70097GOtherCAFAMILYPACT PROVIDER NUMBE
05D0584453OtherCACLIA
BCP70097GMedicaidCA
CLP 303897OtherCADHS LAB REGISTRATION NUMBER
05-0000089OtherCACOMMUNITY CLINIC LICENSE
167273OtherCACCS

Other names 1

  • Isla Vista Neighborhood Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041216001047 CA Part B Supplier - Clinic/Group Practice 3870550247 Receives reassigned benefits from 45 practitioners
4 other NPIs on this enrollment
Practice locations: Santa Barbara, CA; Isla Vista, CA; Goleta, CA
O20110124000607 CA Part A Provider - Federally Qualified Health Center (FQHC) 3870550247 Practice locations: Isla Vista, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265458434. Details of each certification follow.

Federally qualified health center certification: CCN 551101

Legal name
SANTA BARBARA NEIGHBORHOOD CLINICS
Doing business as
ISLA VISTA NEIGHBORHOOD CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 24, 2011
Last certification
Jan 24, 2011
Ownership / control type
Non-profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1998 in CA
Enrollment address
970 Embarcadero del Mar
Isla Vista, CA 93117-4887

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Santa Barbara Neighborhood Clinics15 organizations share this tax ID, including this one
Part of
Santa Barbara Neighborhood Clinics

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gerardo Menchaca Fajardo Individual Corporate DirectorVice Chair Jun 26, 2013
Ceylan Ozkan Individual Corporate OfficerAo Aug 1, 2023
W-2 Managing EmployeeAd; Aug 1, 2023
Marie Nikki Rickard Individual Corporate DirectorBoard Member Feb 27, 2013
Teresa Alvarez Individual Corporate DirectorTreasurer Apr 24, 2024
Melinda Stavely Individual Corporate DirectorBoard Member Apr 23, 2011
Heather Silva Individual Corporate DirectorBoard Secretary Dec 18, 2024
Brian G Gough Individual Corporate DirectorBoard Member May 26, 2016
Brian Knowles Individual Corporate DirectorBoard Member Feb 28, 2012
Christopher V Lambert Individual Corporate DirectorChairperson Sep 22, 2021
Leslie Kearney Individual W-2 Managing Employee Jul 1, 2009
Teresa Anis Individual Corporate DirectorBoard Member Dec 18, 2024
James L Armstrong Individual Corporate DirectorBoard Member Aug 26, 2015
Don Lafler Individual Corporate DirectorBoard Member Apr 22, 2022
Ali Valipour Individual Corporate DirectorBoard Member Mar 23, 2023
Paul Jaconette Individual Corporate DirectorBoard Member Jul 1, 2010
Hugh Boss Individual Corporate DirectorBoard Member Sep 25, 2024
Lynn M Fitzgibbons Individual Corporate DirectorBoard Member Sep 22, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 47

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 47

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1265458434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MILPAS ST",
            "address_2": "2ND FLOOR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032331",
            "telephone_number": "805-617-7858",
            "fax_number": "805-963-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EMBARCADERO DEL MAR",
            "city": "ISLA VISTA",
            "state": "CA",
            "postal_code": "931174869",
            "telephone_number": "805-968-1511",
            "fax_number": "805-968-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA NEIGHBORHOOD CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA BARBARA NEIGHBORHOOD CLINICS",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "ASHRAFIAN",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "805-617-7855"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "050000089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70097G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY CLINIC PERMIT",
            "identifier": "CLN 1073",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILYPACT PROVIDER NUMBE",
            "identifier": "HAP70097G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0584453",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP70097G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LAB REGISTRATION NUMBER",
            "identifier": "CLP 303897",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CLINIC LICENSE",
            "identifier": "05-0000089",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "167273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isla Vista Neighborhood Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Isla Vista, CA

Sources for this page

Verify at the official NPI Registry.