NPIMap

Organization Active NPI

American Indian Health & Services Corporation

Doing business as American Indian Health & Services Carpinteria Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Carpinteria, CA
National Provider Identifier
1487204244
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
AMERICAN INDIAN HEALTH & SERVICES CORPORATION
Doing business as
American Indian Health & Services Carpinteria Dental Clinic
Practice address
5412 Carpinteria Ave
Carpinteria, CA 93013-1423
Phone
(805) 696-1002
Fax
(805) 696-1003
NPI assigned
Sep 13, 2019
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN INDIAN HEALTH & SERVICES CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Deonna Elizabeth Perez
Title
Coo
Phone
(805) 681-7356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

5412 Carpinteria Ave
Carpinteria, CA 93013-1423

Mailing address

3227 State St
Santa Barbara, CA 93105-3328
Phone (805) 681-7356

Other identifiers 1

IdentifierTypeStateIssuer
FHC70786FMedicaidCA

Other names 1

  • American Indian Health & Services Carpinteria Dental Clinic Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address 9152.0001@direct.aihs.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address 9152.0001@direct.aihs.nextgenshare.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
American Indian Health and Services

Locations

5412 Carpinteria Ave
Carpinteria, CA 93013
Phone (805) 696-1002

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1487204244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053328",
            "telephone_number": "805-681-7356",
            "fax_number": "805-681-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 CARPINTERIA AVE",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131423",
            "telephone_number": "805-696-1002",
            "fax_number": "805-696-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INDIAN HEALTH & SERVICES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN INDIAN HEALTH & SERVICES CORPORATION",
        "enumeration_date": "2019-09-13",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DEONNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "805-681-7356"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70786F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "9152.0001@direct.aihs.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen Share",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5412 Carpinteria Ave",
            "city": "Carpinteria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930131423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "9152.0001@direct.aihs.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen Share",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4141 State St Ste B11",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931101898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "American Indian Health & Services Carpinteria Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Indian Health & Services Carpinteria Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carpinteria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.