Organization Active NPI

Alocohol Drug Mental Health Services of Santa Barbra

  • Health Maintenance Organization
  • Santa Barbara, CA
National Provider Identifier
1407999402
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
PT26056 Issued in CA
Legal business name
ALOCOHOL DRUG MENTAL HEALTH SERVICES OF SANTA BARBRA
Practice address
4500 Hollister Ave
Santa Barbara, CA 93110-1710
Phone
(805) 692-4874
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Mr. Fernando Carlos Dominguez Jr., LPT
Title
Pychiatric Technician
Phone
(805) 692-4874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PT26056 CA Primary

Addresses

Primary practice location

4500 Hollister Ave
Santa Barbara, CA 93110-1710

Mailing address

4500 Hollister Ave
Santa Barbara, CA 93110-1399

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1407999402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HOLLISTER AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101710",
            "telephone_number": "805-692-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOCOHOL DRUG MENTAL HEALTH SERVICES OF SANTA BARBRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PYCHIATRIC TECHNICIAN",
        "authorized_official_telephone_number": "805-692-4874",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "PT26056",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2007; 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.