Cencal Health

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CENCAL HEALTH

Practice address

110 Castilian Dr
Goleta, CA 93117-3028

Phone

(805) 685-9525

Fax

(805) 685-9795

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Ambrose

Title

Cfo

Phone

(805) 685-9525

Specialties & licenses 1

Addresses

Tax ID family

Cencal Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Santa Barbara San Luis Obispo Regional Health Authority

  • Health Maintenance Organization
  • Santa Barbara, CA
  • NPI 1376973974
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan McClair, M.D.

  • Internal Medicine Physician
  • Goleta, CA
  • NPI 1235278425
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306045349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CASTILIAN DR",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931173028",
            "telephone_number": "805-685-9525",
            "fax_number": "805-685-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CASTILIAN DR",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931173028",
            "telephone_number": "805-685-9525",
            "fax_number": "805-685-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENCAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-685-9525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Carrillo, DPT
• Casa Pacifica Centers for Children and Families
• Tammy Lynn Casiano, LMFT
• Laura Ann Castillon, MD
• Brenda Cedillo
• Alejandro Eduardo Cervantes
• Shirley Yue Chang, DO
• Anne-Marie Charest, LMFT
• Gregory S.T. Charlton, D.D.S.
• Juliana Lee Cheng, D.M.D.

• Health Maintenance Organization in Goleta, CA
• Providers in Goleta, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.