NPIMap

Individual provider Active NPI

Jeffrey Richard Bourne, DO

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1144325754
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A7050 Issued in CA
Practice address
710 Las Canoas PL
Santa Barbara, CA 93105-2362
Phone
(805) 391-3268
Fax
(805) 434-3209
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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 20A7050 CA Primary

Addresses

Primary practice location

710 Las Canoas PL
Santa Barbara, CA 93105-2362

Mailing address

PO Box 148
Templeton, CA 93465
Phone (805) 391-3268

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000800 CA Practitioner - Internal Medicine 6204019318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Paso Robles, CA 93446
Phone (805) 391-3268

10855 Atascadero Ave
Atascadero, CA 93422-5710
Phone (805) 391-3268

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • Central Coast Home Health, Inc Hospice, San Luis Obispo, CA, CCN 551604
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Vineyard Hills Health Center Nursing home, Templeton, CA, CCN 555220
  • Bayside Care Center Nursing home, Morro Bay, CA, CCN 555371
  • The Californian Nursing home, Santa Barbara, CA, CCN 055684
  • San Luis Post Acute Center Nursing home, San Luis Obispo, CA, CCN 056189
  • Mission View Health Center Nursing home, San Luis Obispo, CA, CCN 055079

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
54.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions36
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7050CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Bourne D O Medical Corporation Internal Medicine CurrentSince Apr 1, 2011 Accepting new patients
Geriatric Healthcare Inc Past Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients

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 12

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1144325754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "93465",
            "telephone_number": "805-391-3268",
            "fax_number": "805-434-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAS CANOAS PL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052362",
            "telephone_number": "805-391-3268",
            "fax_number": "805-434-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A7050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.