NPIMap

Organization Active NPI

Good Samaritan Shelter

  • Community/Behavioral Health Agency
  • Santa Maria, CA
National Provider Identifier
1689717258
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOOD SAMARITAN SHELTER
Practice address
245 Inger Dr
Ste 103B
Santa Maria, CA 93454-8669
Phone
(805) 346-8185
Fax
(805) 346-8656
NPI assigned
Feb 14, 2007
Last updated
Jul 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Mrs. Sylvia Carolyn Barnard
Title
Executive Director
Phone
(805) 346-8185

Specialties & licenses 1

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

Addresses

Primary practice location

245 Inger Dr
Ste 103B
Santa Maria, CA 93454-8669

Mailing address

245 Inger Dr
Ste 103B
Santa Maria, CA 93454-8669
Phone (805) 346-8185

Other names 1

  • Good Samaritan Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230703001507 CA Part B Supplier - Clinic/Group Practice 6204295603 Receives reassigned benefits from 4 practitioners
9 other NPIs on this enrollment
Practice locations: Lompoc, CA; Santa Maria, CA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2281120Good Samaritan Shelter245 Inger Dr Suite 103B, Santa Maria, CA 93454Certificate of waiverMay 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Shelter Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1689717258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 INGER DR",
            "address_2": "STE 103B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548669",
            "telephone_number": "805-346-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 INGER DR",
            "address_2": "STE 103B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548669",
            "telephone_number": "805-346-8185",
            "fax_number": "805-346-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-346-8185",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.