Santa Barbara Select Ipa, Inc

Primary specialty

ContractorTaxonomy code 171W00000X

License

171W00000X Issued in CA

Legal business name

SANTA BARBARA SELECT IPA, INC

Practice address

955 Overland CT FL 2
San Dimas, CA 91773-1718

Phone

(909) 971-6740

Fax

(909) 971-6790

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kirk S. Gilbert, MD

Title

Medical Director

Phone

(805) 687-1505

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770614281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4987",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917234987",
            "telephone_number": "909-971-6740",
            "fax_number": "909-971-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 OVERLAND CT FL 2",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731718",
            "telephone_number": "909-971-6740",
            "fax_number": "909-971-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA SELECT IPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-687-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": "171W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myo Myat Sandar, MD
• Latonya D Sander Webster
• Mark Dennis Sandlin, MA
• David Sandoval, M.S.
• Brian Scott Sandrik, D.C.
• Carina Santiago
• Erika Santoro-Harvey, MSC OTR/L
• Pinnellopii Bernadette Santoro, LMFT
• Kahlea Laurena Olvidado Santos
• Yesenia Santos

• Contractor in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Contractor in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.