| Westside Neighborhood Clinic | |
|
628 W Micheltorena St Santa Barbara CA 93101-4131 | |
| (805) 963-1546 | |
| (805) 962-4771 |
| Full Name | Westside Neighborhood Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 628 W Micheltorena St, Santa Barbara, California |
| Authorized Official Name and Position | Charles Camillo Fenzi (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8056177850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Neighborhood Clinic 915 N Milpas St 2nd Floor Santa Barbara CA 93103-2331 Ph: (805) 617-7858 | Westside Neighborhood Clinic 628 W Micheltorena St Santa Barbara CA 93101-4131 Ph: (805) 963-1546 |
| NPI Number | 1225054414 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 03/03/2016 |
| Medicare PECOS PAC ID | 3870550247 |
|---|---|
| Medicare Enrollment ID | O20110912000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225054414 | NPI | - | NPPES |
| 1598942492 | Other | CA | CPD NPI |
| FHC12002G | Medicaid | CA | |
| 168902 | Other | CA | CCS |
| BCP12002G | Other | CA | CDP |
| FHC12002G | Other | CHDP | |
| 1407033301 | Other | CA | FAMPACT NPI |
| CLN 1074 | Other | CA | BOARD OF PHARMACY CLINIC PERMIT |
| HAP12002G | Other | CA | FP |
| 05D0584453 | Other | CA | CLIA |
| CLP 303897 | Other | CA | DHS LAB REGISTRATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 050000091 (California) | Primary |
Allen J Thomashefsky, Md, A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Bath St Ste 301, Santa Barbara, CA 93105 Phone: 805-962-2662 Fax: 805-569-5670 | |
Recovery Road Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 State Street, Santa Barbara, CA 93101 Phone: 805-962-7800 Fax: 805-962-9002 | |
Milpas Medical Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 N Milpas St, Santa Barbara, CA 93103 Phone: 805-965-8284 Fax: 805-962-0429 | |
Jeffrey R. Polito M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 334 S Patterson Ave, Santa Barbara, CA 93111 Phone: 805-681-1490 Fax: 805-681-1593 | |
Gary M Van Deventer Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Pueblo St, Suite B, Santa Barbara, CA 93105 Phone: 805-563-0024 Fax: 805-563-1454 | |
Deleys Brandman Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2830 Glendessary Ln, Santa Barbara, CA 93105 Phone: 415-819-3138 | |
Eastside Neighborhood Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 N Milpas St, Santa Barbara, CA 93103 Phone: 805-963-1641 Fax: 805-962-6616 |