Individual provider Active NPI

Deise Ponce Capristo, LCSW

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1760630370
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
65065 Issued in CA
Practice address
720 Olive St Apt C
Santa Barbara, CA 93101-1541
Phone
(818) 624-3716
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 65065 CA Primary

Addresses

Primary practice location

720 Olive St Apt C
Santa Barbara, CA 93101-1541

Mailing address

720 Olive St Apt C
Santa Barbara, CA 93101-1541
Phone (818) 624-3716

Other identifiers 1

IdentifierTypeStateIssuer
1760630370MedicaidCA

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
I20190523002548 CA Practitioner - Clinical Social Worker 6103169644 Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65065CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: capristo.deise.p1@direct.sythc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1760630370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLIVE ST APT C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011541",
            "telephone_number": "818-624-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 OLIVE ST APT C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011541",
            "telephone_number": "818-624-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRISTO",
        "first_name": "DEISE",
        "middle_name": "PONCE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "65065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760630370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.