Provider Demographics
NPI:1699034884
Name:SANTA BARBARA COUNTY AUDITOR
Entity Type:Organization
Organization Name:SANTA BARBARA COUNTY AUDITOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:GAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:805-681-5171
Mailing Address - Street 1:300 N SAN ANTONIO RD RM 107
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1316
Mailing Address - Country:US
Mailing Address - Phone:805-681-5461
Mailing Address - Fax:
Practice Address - Street 1:816 CACIQUE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103
Practice Address - Country:US
Practice Address - Phone:805-884-8481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENT- PATH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-09
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1699034884Medicaid
CA551163OtherMEDICARE ID-TYPE UNSPECIFIED