Organization
SANTA BARBARA NEIGHBORHOOD CLINICS
Active
Parent organization
SANTA BARBARA NEIGHBORHOOD CLINICS
Other names
Goleta Neighborhood Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANTA BARBARA NEIGHBORHOOD CLINICS
Authorized official
DR. CHARLES CAMILLO FENZI M.D. (CHIEF EXECUTIVE OFFICER)
(805) 617-7850
Entity
Organization
Contact information
Practice address
5580 CALLE REAL, GOLETA, CA 93111-1646
(805) 617-7878
(805) 617-7880
Mailing address
915 N MILPAS ST, SUITE 203, SANTA BARBARA, CA 93103-2331
(805) 617-7850
(805) 963-8880
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550002691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215351705
FAMPACT NPI
CA
01
—
1790109692
EVERY WOMAN COUNTS NPI
CA
Enumeration date
02/10/2014
Last updated
03/03/2016
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