Individual provider Active NPI

Josephine Phyllis Preciado, M.D.,

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1013948256
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75900 Issued in CA
Practice address
300 N San Antonio Rd
Santa Barbara, CA 93110-1332
Phone
(805) 681-5461
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A75900 CA Primary

Addresses

Primary practice location

300 N San Antonio Rd
Santa Barbara, CA 93110-1332

Mailing address

PO Box 2012
Buellton, CA 93427-2012
Phone (714) 600-4697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628001456 CA Practitioner - Internal Medicine 8426094699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Irvine, California College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Barbara County AuditorGroup PAC ID 9335052083, shared by 15 NPIs, 98 clinicians

Practice addresses (Care Compare)

2115 S Centerpointe Pkwy
Santa Maria, CA 93455-1334
Phone (805) 346-7230

300 N San Antonio Rd
Santa Barbara, CA 93110-1316
Phone (805) 681-5461

301 N 'R' St
Lompoc, CA 93436-5226
Phone (805) 737-6400

305 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (888) 868-1649

315 Camino del Remedio
Santa Barbara, CA 93110-1332

322 N San Antonio Rd
Santa Barbara, CA 93110-1316
Phone (805) 681-5220

345 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (805) 681-5488

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75900CAMDClinical Social Worker
A75900CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor CurrentSince Mar 21, 2011 Accepting new patients
Santa Barbara County Auditor Current Accepting new patients
Santa Barbara County Auditor CurrentSince Mar 21, 2011 Accepting new patients

Locations

300 N San Antonio Rd
#107
Santa Barbara, CA 93110
Phone (805) 681-5461

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

300 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 681-5220

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1013948256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2012",
            "city": "BUELLTON",
            "state": "CA",
            "postal_code": "934272012",
            "telephone_number": "714-600-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101332",
            "telephone_number": "805-681-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECIADO",
        "first_name": "JOSEPHINE",
        "middle_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.