Individual provider Active NPI

Abigail Jaime

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1912661158
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132465 Issued in CA
Practice address
809 De la Vina St # 2F
Santa Barbara, CA 93101-3203
Phone
(626) 340-6323
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 132465 CA Primary

Addresses

Primary practice location

809 De la Vina St # 2F
Santa Barbara, CA 93101-3203

Mailing address

809 De la Vina St # 2F
Santa Barbara, CA 93101-3203
Phone (626) 340-6323

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912002268 CA Practitioner - Clinical Social Worker 4385147578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan ShelterGroup PAC ID 6204295603, 3 clinicians

Practice addresses (Care Compare)

400 W Park Ave
Santa Maria, CA 93458-6116
Phone (805) 925-0315

401 W Morrison Ave
Suite B
Santa Maria, CA 93458-6124
Phone 8053473338102

403 B W Morrison Ave
Santa Maria, CA 93458-8166
Phone (805) 332-3647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Shelter Current Accepting new patients
Good Samaritan Shelter, Inc. CurrentSince Aug 26, 2025 Accepting new patients
Good Samaritan Shelter CurrentSince Aug 26, 2025 Accepting new patients

Locations

400 W Park Ave
Santa Maria, CA 93458
Phone (805) 347-3338

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1912661158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 DE LA VINA ST # 2F",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013203",
            "telephone_number": "626-340-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 DE LA VINA ST # 2F",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013203",
            "telephone_number": "626-340-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIME",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "4335 Atlantic Ave",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908072803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.