Organization Active NPI

Santa Barbara County Public Health Dept

  • Clinical Medical Laboratory
  • Santa Barbara, CA
National Provider Identifier
1790877249
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SANTA BARBARA COUNTY PUBLIC HEALTH DEPT
Practice address
300 N San Antonio Rd
Santa Barbara, CA 93110-1332
Phone
(805) 681-5381
Fax
(805) 681-4756
NPI assigned
Sep 29, 2006
Organization subpart
Yes
Parent organization
COUNTY OF SANTA BARBARAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Dana Bruce Gamble
Title
Deputy Director
Phone
(805) 681-5171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

300 N San Antonio Rd
Santa Barbara, CA 93110-1332

Mailing address

300 N San Antonio Rd
Santa Barbara, CA 93110-1316
Phone (805) 681-5461

Other identifiers 2

IdentifierTypeStateIssuer
LAB58643FMedicaidCA
690003782OtherCARAILROAD

Other names 1

  • Santa Barbara Clinical Laboratory Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031107000729 CA Part B Supplier - Clinic/Group Practice 9335052083 Receives reassigned benefits from 118 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Maria, CA; Lompoc, CA; Santa Barbara, CA; Carpinteria, CA
O20100505000033 CA Part B Supplier - Independent Clinical Laboratory 9335052083 2 other NPIs on this enrollment
Practice locations: Santa Barbara, CA

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Part of
Community Health Clinic

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Santa Barbara Psychiatric Health & Santa Barbara County Dept of BehaviSanta Barbara, CA, CCN 054125 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 31, 1988
Santa Barbara County Public Health Dept-Lompoc Health Care CenterLompoc, CA, CCN 051880 Federally qualified health center Operational/Managerial Control May 1, 2010
Santa Barbara County Public Health Dept-Franklin Health Care CenterSanta Barbara, CA, CCN 051883 Federally qualified health center Operational/Managerial Control May 1, 2010
Santa Barbara Health Care CenterSanta Barbara, CA, CCN 051882 Federally qualified health center Other Feb 12, 1978
Santa Barbara County Public Health-Santa Maria Health Care CenterSanta Maria, CA, CCN 051879 Federally qualified health center Other (100%) Feb 12, 1978
Santa Barbara County Public Health Dept-Carpinteria Health Care CenterCarpinteria, CA, CCN 051881 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 16, 2019
Santa Barbara County Public HealthSanta Barbara, CA, CCN 551161 Federally qualified health center Operational/Managerial Control (100%) Mar 23, 2021
Santa Barbara County Public Health Department-PathSanta Barbara, CA, CCN 551163 Federally qualified health center 5% Or Greater Security Interest (100%) May 22, 2015
Santa Barbara County Public Health Department - Good SamaritanSanta Maria, CA, CCN 551164 Federally qualified health center Operational/Managerial Control (100%) Mar 16, 2016
Santa Barbara County Public Health Department-BridgehouseLompoc, CA, CCN A01916 Federally qualified health center Operational/Managerial Control (100%) Nov 27, 2024
Santa Barbara County Health Department-la PosadaSanta Barbara, CA, CCN A11020 Federally qualified health center Operational/Managerial Control (100%) May 15, 2025

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1790877249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101316",
            "telephone_number": "805-681-5461",
            "fax_number": "805-681-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101332",
            "telephone_number": "805-681-5381",
            "fax_number": "805-681-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA COUNTY PUBLIC HEALTH DEPT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA BARBARA",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "805-681-5171"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB58643F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "690003782",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Barbara Clinical Laboratory",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Santa Barbara Clinical Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.