NPIMap

Individual provider Active NPI

David G Martin-Reay, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Barbara, CA
National Provider Identifier
1184692923
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M8817 Issued in ID
Practice address
Pueblo at Bath Street
Santa Barbara, CA 93105
Phone
(805) 569-7367
Fax
(805) 569-8354
NPI assigned
Mar 9, 2006
Last updated
May 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M8817 ID Primary

Addresses

Primary practice location

Pueblo at Bath Street
Santa Barbara, CA 93105

Mailing address

9301 Oakdale Ave
Suite 300
Chatsworth, CA 91311-6595
Phone (818) 718-9500

Other identifiers 4

IdentifierTypeStateIssuer
54577OtherIDBLUE CROSS OF ID
806618300MedicaidID
000010143418OtherIDREGENCE BLUE SHIELD ID
1184692923MedicaidCA

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
I20111020000209 CA Practitioner - Pathology 3870682065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Pathology Consultants IncGroup PAC ID 8224152731, 9 clinicians

Practice addresses (Care Compare)

400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone (805) 569-7367

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.58 of 100Reported as group
Quality
89.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54712CAMDPharmacist
M8817IDMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Pathology Consultants, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2011 Accepting new patients
David W. Chui, M.D. Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Fna Specialists of the Valley Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1184692923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 OAKDALE AVE",
            "address_2": "SUITE 300",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116595",
            "telephone_number": "818-718-9500",
            "fax_number": "818-718-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUEBLO AT BATH STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105",
            "telephone_number": "805-569-7367",
            "fax_number": "805-569-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-REAY",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ID",
            "license": "M8817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "54577",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806618300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD ID",
            "identifier": "000010143418",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184692923",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.