Individual provider Active NPI

Marc Omana, RN

  • Psychiatric/Mental Health Registered Nurse
  • Santa Barbara, CA
National Provider Identifier
1891105359
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
95124396 Issued in CA
Practice address
315 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone
(805) 681-5244
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 272890 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 95124396 CA Primary

Addresses

Primary practice location

315 Camino del Remedio
Santa Barbara, CA 93110-1332

Mailing address

315 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (805) 681-5244

Other identifiers 2

IdentifierTypeStateIssuer
272890OtherCALVN LICENSE
95124396OtherCAREGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95124396CAMDPsychiatric/Mental Health Registered Nurse
272890CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1891105359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CAMINO DEL REMEDIO",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101332",
            "telephone_number": "805-681-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CAMINO DEL REMEDIO",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101332",
            "telephone_number": "805-681-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMANA",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "272890",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95124396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN LICENSE",
            "identifier": "272890",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "95124396",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.