Organization Active NPI

Santa Barbara Artificial Kidney Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Santa Barbara, CA
National Provider Identifier
1386779270
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
08000659 Issued in CA
Legal business name
SANTA BARBARA ARTIFICIAL KIDNEY CENTER, LLC
Practice address
1704 State St
Santa Barbara, CA 93101-2522
Phone
(805) 563-0090
Fax
(805) 569-2643
NPI assigned
Feb 22, 2007
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Mrs. Juana Murillo
Title
Billing Coordinator
Phone
(805) 563-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 08000659 CA Primary

Addresses

Primary practice location

1704 State St
Santa Barbara, CA 93101-2522

Mailing address

1704 State St
Santa Barbara, CA 93101-2522
Phone (805) 563-0090

Other identifiers 1

IdentifierTypeStateIssuer
CDC02606HMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005001322 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 9931391281 Practice locations: Santa Barbara, CA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Santa Barbara Artificial Kidney Center, LLCCCN 052606
Overall star rating
4.0 of 5
Ownership
Profit
Certified
Dec 3, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
38

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0857520Santa Barbara Artificial Kidney Center, LLC1704 State St, Santa Barbara, CA 93101Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1386779270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012522",
            "telephone_number": "805-563-0090",
            "fax_number": "805-569-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012522",
            "telephone_number": "805-563-0090",
            "fax_number": "805-569-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA ARTIFICIAL KIDNEY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "MURILLO",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "805-563-0090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "08000659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02606H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.