Isla Vista Neighborhood Clinic - Medicare Primary Care in Isla Vista, CA

  1. Home
  2. Primary Care Clinics
  3. CA
  4. Isla Vista
Isla Vista Neighborhood Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Isla Vista, California. The current practice location for Isla Vista Neighborhood Clinic is 970 Embarcadero Del Mar, Isla Vista, California. For appointments, you can reach them via phone at (805) 968-1511. The mailing address for Isla Vista Neighborhood Clinic is 915 N Milpas St, 2nd Floor, Santa Barbara, California and phone number is (805) 617-7858.

Isla Vista Neighborhood Clinic is licensed to practice in California (license number 050000089). The clinic also participates in the medicare program and its NPI number is 1265458434. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (805) 968-1511.

Contact Information

Isla Vista Neighborhood Clinic
970 Embarcadero Del Mar
Isla Vista
CA 93117-4869
(805) 968-1511
(805) 968-7041

Map and Direction


Primary Care Clinic Profile

Full NameIsla Vista Neighborhood Clinic
SpecialityClinic/Center
Location970 Embarcadero Del Mar, Isla Vista, California
Authorized Official Name and PositionCharles Camillo Fenzi (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact8056177850
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Isla Vista Neighborhood Clinic
915 N Milpas St
2nd Floor
Santa Barbara
CA 93103-2331

Ph: (805) 617-7858		Isla Vista Neighborhood Clinic
970 Embarcadero Del Mar
Isla Vista
CA 93117-4869

Ph: (805) 968-1511

NPI Details:

NPI Number1265458434
Provider Enumeration Date07/14/2006
Last Update Date03/03/2016

Medicare PECOS Information:

Medicare PECOS PAC ID3870550247
Medicare Enrollment IDO20041216001047

Medical Identifiers

Medical identifiers for Isla Vista Neighborhood Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265458434NPI-NPPES
FHC70097GMedicaidCA
CLN 1073OtherCABOARD OF PHARMACY CLINIC PERMIT
HAP70097GOtherCAFAMILYPACT PROVIDER NUMBE
05D0584453OtherCACLIA
BCP70097GMedicaidCA
CLP 303897OtherCADHS LAB REGISTRATION NUMBER
05-0000089OtherCACOMMUNITY CLINIC LICENSE
167273OtherCACCS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 050000089 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Isla Vista Neighborhood Clinic acts as a billing entity for following providers:
Provider NameDennis Hugh Baker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669419602
PECOS PAC ID: 8628018710
Enrollment ID: I20050509000363
Provider NameKristin Pena
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861554552
PECOS PAC ID: 3577505916
Enrollment ID: I20050526001058
Provider NameElizabeth A Toro
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1316009285
PECOS PAC ID: 8820033665
Enrollment ID: I20050622001177
Provider NameWilliam Joel Paule
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1750318432
PECOS PAC ID: 1153427943
Enrollment ID: I20070511000287
Provider NameSusan Lawton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659390110
PECOS PAC ID: 6103815824
Enrollment ID: I20091226000028
Provider NameVanessa Ann Atyabi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184026338
PECOS PAC ID: 7618199365
Enrollment ID: I20141112001652
Provider NameSharon Leitzel Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053729012
PECOS PAC ID: 6800118902
Enrollment ID: I20141126001682
Provider NameSteven Carroll Busselen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689787202
PECOS PAC ID: 1456402254
Enrollment ID: I20150429001922
Provider NameKendra Lyn Wiggins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679721609
PECOS PAC ID: 0244400281
Enrollment ID: I20150611003461
Provider NameAnupama Sharma
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1346373990
PECOS PAC ID: 7911218698
Enrollment ID: I20150622002146
Provider NameMelissa J Ruiz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376795377
PECOS PAC ID: 6800017625
Enrollment ID: I20151231001148
Provider NameDanica Kari Lomeli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699119511
PECOS PAC ID: 2163720467
Enrollment ID: I20160420001246
Provider NameAmy Jo Nichols
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487807814
PECOS PAC ID: 6204132319
Enrollment ID: I20180521001332
Provider NameSusan Allison Mayer-oakes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902916059
PECOS PAC ID: 5294056008
Enrollment ID: I20180523001974
Provider NameWilliam Joel Paule
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1750318432
PECOS PAC ID: 1153427943
Enrollment ID: I20181204001667
Provider NameKyra Pelz Curran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144840612
PECOS PAC ID: 5698106557
Enrollment ID: I20200508000146
Provider NameClarence Taylor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265456586
PECOS PAC ID: 7911099866
Enrollment ID: I20200626001572
Provider NameSebastian Pablo Lebeau
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013422864
PECOS PAC ID: 7113347782
Enrollment ID: I20201020002344
Provider NameBonnie Jeanne Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932196649
PECOS PAC ID: 0941199186
Enrollment ID: I20210309002443
Provider NameDeniz Doruk Camsari
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043674716
PECOS PAC ID: 5890087951
Enrollment ID: I20210913000784
Provider NameKavitha Sri Vemuri
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1649658261
PECOS PAC ID: 0840539235
Enrollment ID: I20220105002454
Provider NameKalia Marie Rothlind
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801412507
PECOS PAC ID: 4880081702
Enrollment ID: I20220425000689
Provider NameJesse Jimenez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548791155
PECOS PAC ID: 4486014545
Enrollment ID: I20230720002336
Provider NameJulia Victoria Ramos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932565751
PECOS PAC ID: 5597091363
Enrollment ID: I20230928004112
Provider NameGlenn Delcarmen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205976685
PECOS PAC ID: 3173717311
Enrollment ID: I20231228000762
Provider NameMaria-jose Martirene
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306095013
PECOS PAC ID: 0446603005
Enrollment ID: I20240130003245
Provider NameMaria Jose Lewis
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1861050460
PECOS PAC ID: 8820431703
Enrollment ID: I20240207002993
Provider NameChelsea Sumida Gipson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659833473
PECOS PAC ID: 5193180222
Enrollment ID: I20240209002878
Provider NameRyan Hagarman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528471216
PECOS PAC ID: 1759734593
Enrollment ID: I20240214002319
Provider NameSophie Mengele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942075973
PECOS PAC ID: 7810331956
Enrollment ID: I20240216003048
Provider NameMaria Lorena Bracho
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1336797661
PECOS PAC ID: 2961848189
Enrollment ID: I20240311002220
Provider NameAmy Le
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740980200
PECOS PAC ID: 7012355316
Enrollment ID: I20240405000913
Provider NameAlexandra Quinn Marin Pearson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497399315
PECOS PAC ID: 9739529546
Enrollment ID: I20240426001977
Provider NameSantiago Munoz Briones
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1639859838
PECOS PAC ID: 9133569403
Enrollment ID: I20240503000596
Provider NameTarik Phillip
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326291865
PECOS PAC ID: 8921322736
Enrollment ID: I20240506004110
Provider NameCraig Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043291495
PECOS PAC ID: 8820068125
Enrollment ID: I20240514003420
Provider NameGuille Freschl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306423694
PECOS PAC ID: 6204277726
Enrollment ID: I20240515003039
Provider NameZeda Amaya
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417903428
PECOS PAC ID: 3375674815
Enrollment ID: I20240522002048

Reviews and Comments


Clinic/Center in Isla Vista, CA

Isla Vista Neighborhood Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 970 Embarcadero Del Mar, Isla Vista, CA 93117
Phone: 805-617-7858    Fax: 805-968-7041
Isla Vista Neighborhood Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 970 Embarcadero Del Mar, Isla Vista, CA 93117
Phone: 805-968-1511    Fax: 805-968-7041

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.