Organization Active NPI

Casa San Miguel, LLC

  • Assisted Living Facility
  • Santa Barbara, CA
National Provider Identifier
1922401421
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
425801721 Issued in CA
Legal business name
CASA SAN MIGUEL, LLC
Practice address
908 Via Los Padres
Santa Barbara, CA 93111-1326
Phone
(805) 455-9953
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Ekaterina Zamyatina
Title
President
Phone
(805) 455-9953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 425801721 CA Primary

Addresses

Primary practice location

908 Via Los Padres
Santa Barbara, CA 93111-1326

Mailing address

908 Via Los Padres
Santa Barbara, CA 93111-1326

Other names 1

  • Casa Los Padres Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Casa San Miguel LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1922401421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 VIA LOS PADRES",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 VIA LOS PADRES",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111326",
            "telephone_number": "805-455-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA SAN MIGUEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "ZAMYATINA",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-455-9953"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "425801721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Los Padres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 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.