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Charles Camillo Fenzi

  • Male

Medical Specialty

Professional ID

  • NPI: 1417931197
  • PECOS ID: 2264490895
  • Enrollment ID: I20110407000681
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1978

Hospital Service

  • Hospital CCN1: 050357
  • Business Name (LBN)1: Goleta Valley Cottage Hospital

Medical Practices

  • Organization Name: Santa Barbara Neighborhood Clinics
  • Group Practice ID assigned by PECOS: 3870550247
  • Number of Group Practice member: 8

Location

  • Address1: 970 Embarcadero Del Mar
  • Address2:
  • City: Isla Vista
  • State: California
  • Zip Code: 93117
  • Phone Number: (805)968-1511

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):