Organization Active NPI

Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
National Provider Identifier
1649296807
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SANSUM CLINIC
Practice address
317 W Pueblo St
Santa Barbara, CA 93105-4355
Phone
(805) 681-1768
NPI assigned
Jul 14, 2006
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Chad Hine
Title
Chief Financial Officer
Phone
(805) 681-7709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

317 W Pueblo St
Santa Barbara, CA 93105-4355

Mailing address

PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 681-1768

Other names 1

  • Sansum Clinic ASC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061011000702 CA Part B Supplier - Ambulatory Surgical Center 3678471976 Practice locations: Santa Barbara, CA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Sansum ClinicCCN 05C0001265
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1213 E Ocean Ave
Ste 100
Lompoc, CA 93436
Phone (805) 736-8628

122 S Patterson Ave
Ste 230B
Santa Barbara, CA 93111

1270 Coast Village Cir
Santa Barbara, CA 93108
Phone (805) 845-3213

1722 State St
Ste 203
Santa Barbara, CA 93101
Phone (805) 569-1950

1919 State St
Santa Barbara, CA 93101
Phone (805) 563-6120

1919 State St
Ste 208
Santa Barbara, CA 93101
Phone (805) 563-5333

2323 De la Vina St
Ste 208
Santa Barbara, CA 93105
Phone (805) 563-3135

2324 Bath St
Fl 2
Santa Barbara, CA 93105
Phone (805) 682-7801

2403 Castillo St
Ste 206
Santa Barbara, CA 93105
Phone (805) 898-8840

2417 Castillo St
Santa Barbara, CA 93105
Phone (805) 569-1947

29 W Anapamu St
Santa Barbara, CA 93101
Phone (805) 681-8950

301 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 898-3400

3916 State St
Ste 1C
Santa Barbara, CA 93105
Phone (805) 681-8980

3916 State St
Ste 300A
Santa Barbara, CA 93105
Phone (805) 681-7517

417 W Pueblo St
Santa Barbara, CA 93105

5333 Hollister Ave
Ste 201
Santa Barbara, CA 93111
Phone (805) 964-9858

5333 Hollister Ave
Ste 255
Santa Barbara, CA 93111
Phone (805) 681-7204

5360 Hollister Ave
#1
Santa Barbara, CA 93111
Phone (805) 696-6811

827 State St
Ste 26
Santa Barbara, CA 93101
Phone (805) 965-1979

274 Heather Ct
#A
Templeton, CA 93465
Phone (805) 434-1859

4080 Loma Vista Rd
Ste P
Ventura, CA 93003

Practitioners & affiliated clinicians

Practitioners 420

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 420

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1649296807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62106",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931602106",
            "telephone_number": "805-681-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054355",
            "telephone_number": "805-681-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANSUM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "HINE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "805-681-7709"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sansum Clinic ASC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.