Organization Active NPI

Pacific Pride Foundation

  • Community/Behavioral Health Agency
  • Santa Barbara, CA
National Provider Identifier
1417075573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PACIFIC PRIDE FOUNDATION
Practice address
126 E Haley St
Suite a-11
Santa Barbara, CA 93101-2342
Phone
(805) 963-3636
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mariela MarinNPI 1487797510
Title
Director of Counseling and Recovery
Phone
(805) 963-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

126 E Haley St
Suite a-11
Santa Barbara, CA 93101-2342

Mailing address

126 E Haley St
Suite a-11
Santa Barbara, CA 93101-2342
Phone (805) 963-3636

National Provider Directory

National Provider Directory
Tax ID family
Pacific Pride Foundation2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417075573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E HALEY ST",
            "address_2": "SUITE A-11",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012342",
            "telephone_number": "805-963-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E HALEY ST",
            "address_2": "SUITE A-11",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012342",
            "telephone_number": "805-963-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PRIDE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "DIRECTOR OF COUNSELING AND RECOVERY",
        "authorized_official_telephone_number": "805-963-3636"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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, 2020; 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.