Active NPI
Santa Barbara Outpatient Surgery Centers LLC
Doing business as Santa Barbara Surgery Center
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SANTA BARBARA OUTPATIENT SURGERY CENTERS LLC
- Doing business as
- Santa Barbara Surgery Center
- Practice address
- 3045 De la Vina St
Santa Barbara, CA 93105-3351 - Phone
- (805) 569-3226
- NPI assigned
- Mar 10, 2017
- Last updated
- Oct 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Boon
- Title
- Officer/Authorized Official
- Phone
- (480) 567-0269
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary | |
| Certified Registered Nurse Anesthetist | 367500000X | NU |
Addresses
Primary practice location
3045 De la Vina St
Santa Barbara, CA 93105-3351
Mailing address
14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (972) 763-3859
Other names 1
- Santa Barbara Surgery Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080625000776 | CA | Part B Supplier - Ambulatory Surgical Center | 0648341230 |
1 other NPI on this enrollment Practice locations: Santa Barbara, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1023191822
O20080625000776
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Santa Barbara Outpatient Surgery Center LLC Dba Santa Barbara Surgery Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1518967231
Member Of
-
dba Baptist Health System
- Psychiatric Hospital Unit
- San Antonio, TX
- NPI 1487633509
Member Of
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Santa Barbara, CA
- NPI 1114073145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1225579295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 DALLAS PKWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752542916",
"telephone_number": "972-763-3859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 DE LA VINA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053351",
"telephone_number": "805-569-3226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA BARBARA OUTPATIENT SURGERY CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-10",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "BOON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "480-567-0269"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Santa Barbara Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Santa Barbara Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Barbara, CA
- Santa Barbara Neuropsychology
- Santa Barbara Open MRI
- Santa Barbara Open MRI, Inc.
- Santa Barbara Orthopedic Associates, Inc
- Santa Barbara Orthopedic Associates, Inc
- Santa Barbara Physiotherapy- a Physical Therapy Corporation
- Santa Barbara Plastic Surgery Center
- Santa Barbara Psychatric Associates
- Santa Barbara Psychological Assessment, Inc.
- Santa Barbara Pulmonary and Critical Care Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.