NPIMap

Organization Active NPI

Goleta Neighborhood Clinic

  • Federally Qualified Health Center (FQHC)
  • Goleta, CA
National Provider Identifier
1790109692
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550002691 Issued in CA
Legal business name
GOLETA NEIGHBORHOOD CLINIC
Practice address
334 S Patterson Ave
Suite 203
Goleta, CA 93111-2400
Phone
(805) 617-7878
Fax
(805) 617-7880
NPI assigned
Feb 12, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SANTA BARBARA NEIGHBORHOOD CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Trula Breuninger, MPH MBA
Title
Chief Executive Officer
Phone
(805) 617-7851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 550002691 CA Primary

Addresses

Primary practice location

334 S Patterson Ave
Suite 203
Goleta, CA 93111-2400

Mailing address

915 N Milpas St
2ND Floor
Santa Barbara, CA 93103-2331
Phone (805) 617-7850

Other identifiers 1

IdentifierTypeStateIssuer
550002691OtherCACLINIC LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Santa Barbara Neighborhood15 organizations share this tax ID, including this one
Part of
Santa Barbara Neighborhood

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1790109692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MILPAS ST",
            "address_2": "2ND FLOOR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032331",
            "telephone_number": "805-617-7850",
            "fax_number": "805-963-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 S PATTERSON AVE",
            "address_2": "SUITE 203",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112400",
            "telephone_number": "805-617-7878",
            "fax_number": "805-617-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLETA NEIGHBORHOOD CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA BARBARA NEIGHBORHOOD CLINICS",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "BREUNINGER",
        "authorized_official_first_name": "TRULA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "805-617-7851",
        "authorized_official_credential": "MPH MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550002691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC LICENSE",
            "identifier": "550002691",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.