SP Maravilla LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

428501038 Issued in CA

Legal business name

SP MARAVILLA LLC

Practice address

5486 Calle Real
Santa Barbara, CA 93111-1645

Phone

(805) 967-1965

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. J Wickliffe Peterson

Title

Executive Vice Presid

Phone

(858) 792-9300

Specialties & licenses 1

Addresses

Other names 1

• Maravilla Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1477795144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5486 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111645",
            "telephone_number": "805-967-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5486 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111645",
            "telephone_number": "805-967-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP MARAVILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "WICKLIFFE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESID",
        "authorized_official_telephone_number": "858-792-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "428501038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maravilla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morghan Souza, LMFT
• Marta Sovilj, M.D.
• Pamela Sowers
• Sowins & Gotelli, Inc
• Robert Sowins, DDS
• Howard Spang, M.D.
• Lawrence H. Spann, PA
• Speak, Learn, Play Speech Therapy, Inc
• Arnold Spechler
• Stanton Eugene Speck I, LMFT

• Assisted Living Facility in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.