Individual provider Active NPI

Ryan Hagarman

  • Clinical Social Worker
  • Goleta, CA
National Provider Identifier
1528471216
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101063 Issued in CA
Practice address
5580 Calle Real
Goleta, CA 93111-1646
Phone
(805) 617-7878
Fax
(805) 617-7880
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101063 CA Primary

Addresses

Primary practice location

5580 Calle Real
Goleta, CA 93111-1646

Mailing address

414 E Cota St FL 1
Santa Barbara, CA 93101-1624
Phone (805) 617-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214002319 CA Practitioner - Clinical Social Worker 1759734593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5580 Calle Real
Goleta, CA 93111-1646
Phone (805) 617-7868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101063CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Neighborhood Clinics CurrentSince Jan 1, 2024 Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Jan 1, 2024 Accepting new patients
Santa Barbara Neighborhood Clinics Current Accepting new patients

Locations

628 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 963-1546

5580 Calle Real
Santa Barbara, CA 93111
Phone (805) 617-7878

414 E Cota St
Fl 1
Santa Barbara, CA 93101
Phone (805) 617-7863

2255 Modoc Rd
Santa Barbara, CA 93101
Phone (805) 617-7850

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1528471216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E COTA ST FL 1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011624",
            "telephone_number": "805-617-7878",
            "fax_number": "805-617-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 CALLE REAL",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931111646",
            "telephone_number": "805-617-7878",
            "fax_number": "805-617-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGARMAN",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.