Organization
SANTA BARBARA NEIGHBORHOOD CLINICS
Active
Other names
Eastside Neighborhood Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES CAMILLO FENZI M.D. (CHIEF EXECUTIVE OFFICER)
(805) 617-7850
Entity
Organization
Contact information
Practice address
915 N MILPAS ST, SANTA BARBARA, CA 93103-2331
(805) 963-1641
(805) 962-6616
Mailing address
915 N MILPAS ST, 2ND FLOOR, SANTA BARBARA, CA 93103-2331
(805) 617-7858
(805) 898-2002
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
050000113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000113
COMMUNITY CLINIC LICENSE
CA
01
—
05D0584453
CLIA NUMBER
CA
01
—
168904
CCS
CA
01
—
BCP70114G
CDP PROVIDER NUMBER
CA
01
—
CLN 1072
BOARD OF PHARMACY CLINIC PERMIT
CA
01
—
CLP 303897
DHS LAB REGISTRATION NUMBER
CA
01
—
EAP70114G
EAPC PROVIDER NUMBER
CA
05
—
FHC70114G
—
CA
01
—
HAP70114G
FAMPACT LEGACY NUMBER
CA
Enumeration date
07/14/2006
Last updated
03/03/2016
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