Provider Demographics
NPI:1689786584
Name:SANTA BARBARA COMMUNITY DIALYSIS CENTER, INC.
Entity Type:Organization
Organization Name:SANTA BARBARA COMMUNITY DIALYSIS CENTER, INC.
Other - Org Name:SANTA BARBARA COMMUNITY DIALYSIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:222 PESETAS LN
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1417
Mailing Address - Country:US
Mailing Address - Phone:805-964-7873
Mailing Address - Fax:805-683-0855
Practice Address - Street 1:222 PESETAS LN
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1417
Practice Address - Country:US
Practice Address - Phone:805-964-7873
Practice Address - Fax:805-683-0855
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
052513Medicare Oscar/Certification