NPIMap

Organization Active NPI

Santa Barbara Neighborhood Clinics

Doing business as Bridge Clinic

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
National Provider Identifier
1801608120
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SANTA BARBARA NEIGHBORHOOD CLINICS
Doing business as
Bridge Clinic
Practice address
2320 Bath St Ste 201
Santa Barbara, CA 93105-4344
Phone
(805) 617-7858
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SANTA BARBARA NEIGHBORHOOD CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Ceylan Ozkan
Title
Chief Quality Officer
Phone
(805) 617-7858

Specialties & licenses 1

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

Addresses

Primary practice location

2320 Bath St Ste 201
Santa Barbara, CA 93105-4344

Mailing address

414 E Cota St
Santa Barbara, CA 93101-1624
Phone (805) 617-7858

Other names 1

  • Bridge Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240924001748 CA Part A Provider - Federally Qualified Health Center (FQHC) 3870550247 1 other NPI on this enrollment
Practice locations: Santa Barbara, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801608120. Details of each certification follow.

Federally qualified health center certification: CCN A01881

Legal name
SANTA BARBARA NEIGHBORHOOD CLINICS
Doing business as
BRIDGE CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 20, 2024
Last certification
Aug 20, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 17, 2024 in CA
Enrollment address
2320 Bath St
Ste 201
Santa Barbara, CA 93105-4344

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

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

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

Locations

2320 Bath St
Ste 201
Santa Barbara, CA 93105
Phone (805) 324-8336

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gerardo Menchaca Fajardo Individual Corporate DirectorVice Chair Jun 23, 2013
Ceylan Ozkan Individual Corporate Officer Aug 1, 2023
W-2 Managing Employee Aug 1, 2023
Marie Nikki Rickard Individual Corporate DirectorBoard Member Feb 27, 2013
Teresa Alvarez Individual Corporate DirectorTreasurer Apr 24, 2024
Melinda Stavely Individual Corporate DirectorBoard Member Apr 23, 2011
Heather Silva Individual Corporate DirectorBoard Secretary Dec 18, 2024
Brian G Gough Individual Corporate DirectorBoard Member May 26, 2016
Brian Knowles Individual Corporate Director Mar 28, 2012
Christopher V Lambert Individual Corporate DirectorChairperson Sep 22, 2021
Teresa Anis Individual Corporate DirectorBoard Member Dec 18, 2024
James L Armstrong Individual Corporate DirectorBoard Member Aug 26, 2015
Don Lafler Individual Corporate DirectorBoard Member Apr 22, 2020
Ali Valipour Individual Corporate DirectorBoard Member Mar 23, 2023
Paul Jaconette Individual Corporate DirectorBoard Member Dec 28, 2009
Hugh Boss Individual Corporate DirectorBoard Member Sep 25, 2024
Lynn M Fitzgibbons Individual Corporate DirectorBoard Member Sep 22, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1801608120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E COTA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011624",
            "telephone_number": "805-617-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054344",
            "telephone_number": "805-617-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA NEIGHBORHOOD CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA BARBARA NEIGHBORHOOD CLINICS",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "OZKAN",
        "authorized_official_first_name": "CEYLAN",
        "authorized_official_title_or_position": "CHIEF QUALITY OFFICER",
        "authorized_official_telephone_number": "805-617-7858"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.