Active NPI
Vincent Edward Saucedo
- Peer Specialist
- Santa Barbara, CA
National Provider Identifier
1982893475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-ELMYXJ
- Practice address
- 315 Camino del Remedio # 330
Santa Barbara, CA 93110-1332 - Phone
- (805) 884-6850
- NPI assigned
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | MPSS-ELMYXJ | CA | Primary |
Addresses
Primary practice location
315 Camino del Remedio # 330
Santa Barbara, CA 93110-1332
Mailing address
915 W Morrison Ave Apt 83
Santa Maria, CA 93458-6023
Phone (805) 356-5461
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-ELMYXJ | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1982893475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 W MORRISON AVE APT 83",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934586023",
"telephone_number": "805-356-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 CAMINO DEL REMEDIO # 330",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101332",
"telephone_number": "805-884-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUCEDO",
"first_name": "VINCENT",
"middle_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-19",
"last_updated": "2024-04-17",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-ELMYXJ",
"primary": true
}
],
"identifiers": [],
"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 Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.