Eastside Neighborhood Clinic

LBN: Santa Barbara Neighborhood Clinics
Eastside Neighborhood Clinic is an health care organization with primary practice located at 915 N Milpas St , Santa Barbara CA 93103-2331. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Santa Barbara Neighborhood Clinics can be contacted via phone (805) 963-1641, or through Fenzi, Charles Camillo via phone (805) 617-7850.

Contact Information

Primary practice address
915 N Milpas St Santa Barbara CA 93103-2331
Phone: (805) 963-1641
Fax: (805) 962-6616
Website:
Map and Directions
Authorized official contact:
Name: Fenzi, Charles Camillo Doctor of Medicine (MD)
Phone: (805) 617-7850

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 050000113 California

Profile Details

NPI number 1063438232
LBN Legal business name Santa Barbara Neighborhood Clinics
DBA Doing business as Eastside Neighborhood Clinic
Authorized official Fenzi, Charles Camillo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Mar 3rd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063438232 NPPES
California Other 050000113 COMMUNITY CLINIC LICENSE
California Other HAP70114G COMMUNITY CLINIC LICENSE
California Other BCP70114G COMMUNITY CLINIC LICENSE
California Other EAP70114G COMMUNITY CLINIC LICENSE
California Other CLP 303897 COMMUNITY CLINIC LICENSE
California Other 168904 COMMUNITY CLINIC LICENSE
California Other 05D0584453 COMMUNITY CLINIC LICENSE
California Other CLN 1072 COMMUNITY CLINIC LICENSE
California MEDICAID FHC70114G COMMUNITY CLINIC LICENSE

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