Victor Andrew Tacconelli, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G27913 Issued in CA

Practice address

5333 Hollister Ave
# 135
Santa Barbara, CA 93111-3320

Phone

(805) 967-9311

Fax

(805) 967-4192

NPI assigned

Oct 16, 2006

Last updated

Oct 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Victor a Tacconelli, MD, Inc

  dba Orthopedic Surgical Practice

  • Orthopaedic Surgery Physician
  • Santa Barbara, CA
  • NPI 1487804522
  Authorized official Same address or phone
• Daniel F Craviotto Jr a Professional Medical Corporation

  • Orthopaedic Surgery Physician
  • Santa Barbara, CA
  • NPI 1225288343
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1073693297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "STE 135",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113320",
            "telephone_number": "805-967-9311",
            "fax_number": "805-967-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "# 135",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113320",
            "telephone_number": "805-967-9311",
            "fax_number": "805-967-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACCONELLI",
        "first_name": "VICTOR",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G27913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G279130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lourdes Syslo
• Jeanne Szarzynski, PA-C
• Ideen Tabatabai, MD
• Traci Tabordon
• Eva Taborek, RN, PHN, MSN
• Tadao Suzuki DDS Inc
• Kathryn Betty Tadlock, PA-C
• Santino Tafarella
• Nicole Sara Taggs
• Ida Taghavi

• Orthopaedic Surgery Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.