Individual provider Active NPI

Charles Sciutto

  • Gerontology Nurse Practitioner
  • Santa Barbara, CA
National Provider Identifier
1275936908
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95034186 Issued in CA
Practice address
2915 Glen Albyn Dr
Santa Barbara, CA 93105-2219
Phone
(805) 845-5021
Fax
(805) 564-3251
NPI assigned
Oct 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95034186 CA Primary
Acupuncturist 171100000X AC13635 CA

Addresses

Primary practice location

2915 Glen Albyn Dr
Santa Barbara, CA 93105-2219

Mailing address

2915 Glen Albyn Dr
Santa Barbara, CA 93105-2219
Phone (805) 845-5021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429002658 CA Practitioner - Nurse Practitioner 8123425287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Step Regenerative ClinicGroup PAC ID 4587104500, 2 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 301
Santa Barbara, CA 93101-8443
Phone (805) 450-2891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC13635CAMDAcupuncturist
95034186CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Regenerative Health Clinic CurrentSince Aug 1, 2021 Accepting new patients
First Step Regenerative Clinic CurrentSince Mar 1, 2025 Accepting new patients

Locations

1919 State St
Ste 302
Santa Barbara, CA 93101
Phone (805) 563-9814

1919 State St
Ste 301
Santa Barbara, CA 93101
Phone (805) 450-2891

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1275936908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 GLEN ALBYN DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052219",
            "telephone_number": "805-845-5021",
            "fax_number": "805-564-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 GLEN ALBYN DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052219",
            "telephone_number": "805-845-5021",
            "fax_number": "805-564-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIUTTO",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95034186",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.