Active NPI
Jonathan Ralph Zucker, MD
- Anesthesiology Physician
- Goleta, CA
National Provider Identifier
1235103235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A39244
- Practice address
- 351 S Patterson Ave
Goleta, CA 93111-2403 - Phone
- (805) 967-3411
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A39244 | CA | Primary |
Addresses
Primary practice location
351 S Patterson Ave
Goleta, CA 93111-2403
Mailing address
315 Meigs Rd # A109
Santa Barbara, CA 93109-1900
Phone (805) 451-4436
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XPY202888 | Medicaid | CA | |
| 938285 | Medicaid | AZ | |
| 1770556037 | Medicaid | UT | |
| 100506093 | Medicaid | NV |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 49.94 of 100
- Quality
- 38.91
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39244 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventura County Anesthesia Medical Group, Inc. | Anesthesiology | Current | Accepting new patients |
| Ventura Anesthesia Medical Group | Anesthesiology | Current | Accepting new patients |
| Anesthesia Medical Group of Santa Maria Inc | Anesthesiology | Past | Accepting new patients |
| Fielden Hanson Isaacs Miyada Robison Yeh LTD | Anesthesiology | Past | Accepting new patients |
Locations
3116 W March Ln
Ste 200
Stockton, CA 95219
Phone (510) 537-1234
3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Ventura, CA
- NPI 1164465159
-
- Anesthesiology Physician
- Ventura, CA
- NPI 1679837645
-
- Anesthesiology Physician
- Santa Maria, CA
- NPI 1225024284
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1699710749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1235103235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MEIGS RD # A109",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931091900",
"telephone_number": "805-451-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 S PATTERSON AVE",
"city": "GOLETA",
"state": "CA",
"postal_code": "931112403",
"telephone_number": "805-967-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKER",
"first_name": "JONATHAN",
"middle_name": "RALPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A39244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY202888",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "938285",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770556037",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100506093",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.