Organization Active NPI

Santa Barbara County Department of Behavioral Wellness

Doing business as Lompoc Children's Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Lompoc, CA
National Provider Identifier
1699821041
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS
Doing business as
Lompoc Children's Clinic
Practice address
401 East Ocean Avenue
Lompoc, CA 93436
Phone
(805) 737-6600
Fax
(805) 737-6601
NPI assigned
Jan 26, 2007
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SB COUNTY DEPARTMENT OF BEHAVIORAL WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Tammy Casiano, LMFT
Title
QCM Coordinator / Designee
Phone
(805) 325-5905

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X CA Primary

Addresses

Primary practice location

401 East Ocean Avenue
Lompoc, CA 93436

Mailing address

5385 Hollister Ave BLDG 14
Santa Barbara, CA 93111-2389

Other names 1

  • Lompoc Children's Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081226000157 CA Part B Supplier - Clinic/Group Practice 9335052083 Receives reassigned benefits from 99 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Maria, CA; Santa Barbara, CA; Carpinteria, CA; Goleta, CA; Lompoc, CA

Other NPIs on the same Medicare enrollment 15

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

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Physicians Medical Group150 organizations share this tax ID, including this one
Part of
Physicians Medical Group

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 3

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1699821041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 HOLLISTER AVE BLDG 14",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EAST OCEAN AVENUE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-737-6600",
            "fax_number": "805-737-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SB COUNTY DEPARTMENT OF BEHAVIORAL WELLNESS",
        "enumeration_date": "2007-01-26",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "CASIANO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "QCM COORDINATOR / DESIGNEE",
        "authorized_official_telephone_number": "805-325-5905",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lompoc Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.