Active NPI
Santa Barbara Artificial Kidney Center, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 08000659
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDC02606H | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Dec 3, 1984
- Medicare certification status
- Active
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0857520 | Santa Barbara Artificial Kidney Center, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nephrology Physician
- Santa Barbara, CA
- NPI 1184718215
-
- Nurse Practitioner
- Santa Barbara, CA
- NPI 1245358449
-
- Nephrology Physician
- Santa Barbara, CA
- NPI 1669554739
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": []
}
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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.