SANTA BARBARA RADIOLOGY MEDICAL GROUP INC (NPI# 1073505715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073505715 |
| Entity Type | Organization |
| Organization Name | SANTA BARBARA RADIOLOGY MEDICAL GROUP INC |
| Practice Address |
400 W Pueblo St Santa Barbara CA 93105-4353 |
| Mailing Address |
Po Box 4219 Orange CA 92863-4219 |
| Practice Telephone | 8055697279 |
| Practice Fax Number | 8055698279 |
| Mailing Telephone | 7145715000 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2014-01-20 |
| Authorized Official Name | THOMAS C. DAUGHTERS (PRESIDENT) |
| Authorized Official Telephone | 8055697279 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ49598Z | 05 | |
| BLUE SHIELD OF CA | ZZZ49598Z | 01 | |
| RAILROAD MEDICARE | CS8932 | 01 |
| Street Address |
400 W PUEBLO ST |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93105-4353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556002 | Joseph Kim | Pharmacist | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2020-10-23 |
| 1154958924 | Aria Ashir | Student in an Organized Health Care Education/Training Program | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2020-03-23 |
| 1083244248 | Christine Noel Lyles | Physician Assistant | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2020-01-16 |
| 1588209357 | Cottage Clinical Network, LLC | General Practice | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2019-11-15 |
| 1720556145 | Beeta Mahdavi | Pharmacist | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-11-03 |
| 1962978502 | Alisha Atherly-brown | Physician Assistant | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-10-22 |
| 1710470703 | Mark D Wilson, Md Inc | Internal Medicine | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-06-13 |
| 1285130724 | Connor L Wiles | Student in an Organized Health Care Education/Training Program | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-04-03 |
| 1346744737 | Nedeljko Jakov Uncanin Jr. | Student in an Organized Health Care Education/Training Program | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-03-20 |
| 1356843270 | Sharise Michelle Redmond | Pharmacist | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716307 | Christopher Robert Ray Hyde | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1023635562 | Yana Gristan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-07-01 |
| 1346867918 | Neelima Archana Mohan | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1861019358 | Jerry Peng Jiang | Student in an Organized Health Care Education/Training Program | Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2020-06-30 |
| 1073153250 | California Telemedicine Associates, P.C. | Pediatrics | 2830 Glendessary Lane, Santa Barbara, CA 93105 | 2020-01-15 |
| 1275190233 | Paul Seo | Student in an Organized Health Care Education/Training Program | Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2019-05-24 |
| 1174009062 | Hannah Wilks Kornfeld | Student in an Organized Health Care Education/Training Program | Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-07-14 |
| 1174010896 | Thuthiri Thandar Lwin | Student in an Organized Health Care Education/Training Program | Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-04-18 |
| 1649771056 | Jeremy Middleton | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 | 2018-02-22 |
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| Find all providers in zip 93105 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720593502 | Spencer E Price | Radiology | 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 | 2017-12-03 |
| 1598037038 | Douglas Waldron Erickson | Radiology | 4305 Via Esperanza, Santa Barbara, CA 93110-2251 | 2012-01-30 |
| 1942570726 | William Edward Sheehan | Radiology | 3953 Laguna Blanca Dr, Santa Barbara, CA 93110-2133 | 2012-01-10 |
| 1073825170 | Bedro Jin | Radiology | 601 E Micheltorena St Unit 38, Santa Barbara, CA 93103-1901 | 2010-07-06 |
| 1922232289 | Thu Trong Le | Radiology | 714 W Arrellaga St, #12, Santa Barbara, CA 93101-4160 | 2009-05-14 |
| 1770746638 | Karthik Kumar | Radiology | 2320 Bath St # 113, Santa Barbara, CA 93105-4339 | 2008-07-09 |
| 1215129184 | Jennifer B. Kosek | Radiology | 2320 Bath St Ste 113, Santa Barbara, CA 93105-4377 | 2007-08-15 |
| 1245442714 | Marlon Dean Black | Radiology | 2320 Bath Street Suite 208, Santa Barbara, CA 93105-5322 | 2007-05-04 |
| 1730305327 | Paymann Moin | Radiology | 2320 Bath St Ste 208, Santa Barbara, CA 93105-5322 | 2007-04-18 |
| 1407915226 | David John Mills | Radiology | 2830 Puesta Del Sol, Santa Barbara, CA 93105 | 2006-12-07 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93105 |
Please comment or provide details below to improve the information on SANTA BARBARA RADIOLOGY MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.