Active NPI
Children'S Medical Clinic of Santa Barbara Inc
- Pediatrics Physician
- Santa Barbara, CA
National Provider Identifier
1750307906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- CHILDREN'S MEDICAL CLINIC OF SANTA BARBARA INC
- Practice address
- 15 E Arrellaga St
Santa Barbara, CA 93101-2531 - Phone
- (805) 965-1095
- Fax
- (805) 965-8905
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael J Kullik
- Title
- Business Manager
- Phone
- (805) 965-1095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
15 E Arrellaga St
Santa Barbara, CA 93101-2531
Mailing address
15 E Arrellaga St
Santa Barbara, CA 93101-2531
Phone (805) 965-1095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FNP16054 | Other | CA | BMQA |
| GR0027590 | Medicaid | CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0584464 | Children'S Medical Clinic of Santa Barbara Inc | Certificate of waiver | Mar 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
15 E Arrellaga St
Santa Barbara, CA 93101
Phone (805) 965-1095
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Santa Barbara, CA
- NPI 1144233370
-
- Pediatrics Physician
- Santa Barbara, CA
- NPI 1720091911
-
- Pediatrics Physician
- Santa Barbara, CA
- NPI 1124131362
-
- Pediatrics Physician
- Santa Barbara, CA
- NPI 1003829284
-
- Pediatrics Physician
- Santa Barbara, CA
- NPI 1013920214
-
- Pediatrics Physician
- Santa Barbara, CA
- NPI 1992818124
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": "1598054400000",
"number": "1750307906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E ARRELLAGA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012531",
"telephone_number": "805-965-1095",
"fax_number": "805-963-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E ARRELLAGA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012531",
"telephone_number": "805-965-1095",
"fax_number": "805-965-8905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S MEDICAL CLINIC OF SANTA BARBARA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KULLIK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "805-965-1095",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMQA",
"identifier": "FNP16054",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0027590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.