Active NPI
Rafael Sollesa Victoria, M.D.
- Internal Medicine Physician
- Carpinteria, CA
National Provider Identifier
1194870220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A52387
- Practice address
- 4806 Carpinteria Ave
Carpinteria, CA 93013-1935 - Phone
- (805) 566-5080
- Fax
- (805) 566-5007
- NPI assigned
- Jan 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A52387 | CA | Primary |
| Pediatrics Physician | 208000000X | A52387 | CA |
Addresses
Primary practice location
4806 Carpinteria Ave
Carpinteria, CA 93013-1935
Mailing address
PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 566-5080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A52387 | Other | CA | PHYSICIAN'S LICENSE |
| 00A523870 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4806 Carpinteria Ave
Carpinteria, CA 93013-1935
Phone (805) 566-5077
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52387 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sansum Clinic | Current | Accepting new patients | |
| Santa Barbara Cottage Hospital | Past | Accepting new patients | |
| Sansum Clinic | Past | Accepting new patients |
Locations
215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765
Interoperability endpoints
- rvictoria760796@hisp.ehr.sutterhealth.org
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.
-
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1154354504
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1649296807
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Assisted Home Care
- Home Health Agency
- Santa Barbara, CA
- NPI 1558862946
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1225038136
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
- Home Health Agency
- Santa Barbara, CA
- NPI 1477560035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194870220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62106",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931602106",
"telephone_number": "805-566-5080",
"fax_number": "805-566-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4806 CARPINTERIA AVE",
"city": "CARPINTERIA",
"state": "CA",
"postal_code": "930131935",
"telephone_number": "805-566-5080",
"fax_number": "805-566-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORIA",
"first_name": "RAFAEL",
"middle_name": "SOLLESA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A52387",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A52387",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN'S LICENSE",
"identifier": "A52387",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A523870",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carpinteria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.