Active NPI
Tom Douglas Matteucci, ND
- Naturopath
- Santa Barbara, CA
National Provider Identifier
1073870549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-519
- Practice address
- 1114 State St Ste 206
Santa Barbara, CA 93101-2717 - Phone
- (805) 560-0111
- Fax
- (805) 258-5132
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND-519 | CA | Primary |
Addresses
Primary practice location
1114 State St Ste 206
Santa Barbara, CA 93101-2717
Mailing address
1114 State St # 206
Santa Barbara, CA 93101-2717
Phone (805) 560-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND-519 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equinox Naturopathic Medicine, PC | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Naturopath
- Santa Barbara, CA
- NPI 1619243656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1073870549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 STATE ST # 206",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012717",
"telephone_number": "805-560-0111",
"fax_number": "805-258-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 STATE ST STE 206",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931012717",
"telephone_number": "805-560-0111",
"fax_number": "805-258-5132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTEUCCI",
"first_name": "TOM",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.