Coastal Surgery Center Partners

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COASTAL SURGERY CENTER PARTNERS

Doing business as

Coastal Surgery Center

Practice address

222 W Pueblo St Ste C
Santa Barbara, CA 93105-3805

Phone

(805) 364-8450

NPI assigned

Oct 31, 2016

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ralph D Mozingo, D.O.NPI 1245257963

Title

Partner

Phone

(805) 563-0363

Specialties & licenses 1

Addresses

Other names 1

• Coastal Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164974655. Details of each certification follow.

• CCN 050797 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050797

Legal name

COASTAL SURGERY CENTER PARTNER

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 12, 2020

Last certification

May 12, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

222 West Pueblo Street, Suite C
Santa Barbara, CA 93105

Listed as

Coastal Surgery CenterCCN 05C0002283

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

Coastal Surgery Center Partners Dba Coastal Surgery CenterCCN 05C0002203

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Kern River Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
  • NPI 1700541877

  Member Of

  NPD member
• Valhalla Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Luis Obispo, CA
  • NPI 1811652035

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph D Mozingo, DO

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1245257963
  NPD Authorized official
• Robert M. Hullander, M.D.

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1285731976
  NPD
• Gustavo Leor

  • Certified Registered Nurse Anesthetist
  • Pasadena, CA
  • NPI 1316628563
  NPD

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1164974655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GRAY AVE STE 200",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011800",
            "telephone_number": "888-282-7472",
            "fax_number": "805-879-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W PUEBLO ST STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053805",
            "telephone_number": "805-364-8450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4472 Broad St Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934017933",
            "country_code": "US",
            "telephone_number": "805-364-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL SURGERY CENTER PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "MOZINGO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-563-0363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.