Individual provider Active NPI

Sophie Mengele, FNP

  • Family Nurse Practitioner
  • Goleta, CA
National Provider Identifier
1942075973
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026343 Issued in CA
Practice address
970 Embarcadero del Mar
Goleta, CA 93117-4869
Phone
(844) 594-0343
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95026343 CA Primary

Addresses

Primary practice location

970 Embarcadero del Mar
Goleta, CA 93117-4869

Mailing address

139 W Yanonali St Apt a
Santa Barbara, CA 93101-5230

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216003048 CA Practitioner - Nurse Practitioner 7810331956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95026343CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Neighborhood Clinics CurrentSince Jan 2, 2024 Accepting new patients
Santa Barbara Neighborhood Clinics Current Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Jan 2, 2024 Accepting new patients
Santa Barbara Neighborhood Clinics Past Accepting new patients

Locations

150 N Kellogg Ave
Goleta, CA 93111
Phone (805) 451-9665

5580 Calle Real
Goleta, CA 93111
Phone (805) 617-7878

970 Embarcadero del Mar
Isla Vista, CA 93117
Phone (805) 968-1511

414 E Cota St
Fl 1
Santa Barbara, CA 93101
Phone (805) 617-7863

628 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 963-1546

915 N Milpas St
Santa Barbara, CA 93103
Phone (805) 963-1641

Interoperability endpoints

  • Direct secure messaging: sophie.mengele@9425741611012.direct.elationemr.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1942075973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W YANONALI ST APT A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931015230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EMBARCADERO DEL MAR",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931174869",
            "telephone_number": "844-594-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGELE",
        "first_name": "SOPHIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.