NPIMap

Organization Active NPI

Santa Barbara Neighborhood Clinics

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
National Provider Identifier
1346066826
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SANTA BARBARA NEIGHBORHOOD CLINICS
Practice address
225 Modoc Road
Nurse's Office
Santa Barbara, CA 93101
Phone
(805) 617-7850
NPI assigned
Nov 29, 2024
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Ceylan Ozkan
Title
Interim Chief Quality Officer
Phone
(805) 617-7858

Specialties & licenses 1

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

Addresses

Primary practice location

225 Modoc Road
Nurse's Office
Santa Barbara, CA 93101

Mailing address

414 E Cota St FL 1
Santa Barbara, CA 93101-1624

Other names 1

  • La Cumbre Jr High School Other name

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
This NPI is an additional NPI on the enrollment
Practice locations: Santa Barbara, CA; Isla Vista, CA; Goleta, CA
O20250227002646 CA Part A Provider - Federally Qualified Health Center (FQHC) 3870550247 Practice locations: Santa Barbara, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346066826. Details of each certification follow.

Federally qualified health center certification: CCN A01939

Legal name
SANTA BARBARA NEIGHBORHOOD CLINICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 13, 2025
Last certification
Feb 13, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2255 Modoc Rd
Santa Barbara, CA 93101-3935

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 Neighborhood15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

150 N Kellogg Ave
Goleta, CA 93111
Phone (805) 451-9665

2255 Modoc Rd
Santa Barbara, CA 93101
Phone (805) 617-7850

414 E Cota St
Fl 1
Santa Barbara, CA 93101
Phone (805) 617-7863

Ownership & related parties

All disclosed owners & managing parties 16

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 Mar 28, 2012
Christopher V Lambert Individual Corporate DirectorChairperson Sep 22, 2021
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, 2020
Ali Valipour Individual Corporate DirectorBoard Member Mar 23, 2023
Paul Jaconette Individual Corporate DirectorBoard Member Dec 28, 2009
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 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1346066826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E COTA ST FL 1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MODOC ROAD",
            "address_2": "NURSE'S OFFICE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-617-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA NEIGHBORHOOD CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "OZKAN",
        "authorized_official_first_name": "CEYLAN",
        "authorized_official_title_or_position": "INTERIM CHIEF QUALITY OFFICER",
        "authorized_official_telephone_number": "805-617-7858"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Cumbre Jr High School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.