Organization Active NPI

Santa Barbara San Luis Obispo Regional Health Authority

  • Health Maintenance Organization
  • Santa Barbara, CA
National Provider Identifier
1376973974
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
953869541 Issued in CA
Legal business name
SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY
Practice address
4050 Calle Real
Santa Barbara, CA 93110-3413
Phone
(805) 685-9525
Fax
(805) 964-0540
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Mr. Armando Rivera
Title
Site Director
Phone
(805) 562-1641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 953869541 CA Primary

Addresses

Primary practice location

4050 Calle Real
Santa Barbara, CA 93110-3413

Mailing address

4050 Calle Real
Santa Barbara, CA 93110-3413
Phone (805) 685-9525

Other identifiers 1

IdentifierTypeStateIssuer
MSS00046FOtherCAMSSP PROVIDER NUMBER

Other names 1

  • CenCal Health Doing business as

National Provider Directory

National Provider Directory
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.

Locations

4050 Calle Real
Santa Barbara, CA 93110
Phone (805) 685-9525

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1376973974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931103413",
            "telephone_number": "805-685-9525",
            "fax_number": "805-964-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931103413",
            "telephone_number": "805-685-9525",
            "fax_number": "805-964-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA SAN LUIS OBISPO REGIONAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "805-562-1641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "953869541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSSP PROVIDER NUMBER",
            "identifier": "MSS00046F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenCal Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.