Individual provider Active NPI

Jonathan Ralph Zucker, MD

  • Anesthesiology Physician
  • Goleta, CA
National Provider Identifier
1235103235
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A39244 Issued in CA
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

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
XPY202888MedicaidCA
938285MedicaidAZ
1770556037MedicaidUT
100506093MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140102001540 CA Practitioner - Anesthesiology 2961444146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
49.94 of 100Reported as group
Quality
38.91
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39244CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura County Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Nov 16, 2013 Accepting new patients
Ventura Anesthesia Medical Group Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Anesthesia Medical Group of Santa Maria Inc Anesthesiology Past Accepting new patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Anesthesiology PastSince Jun 18, 2023 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.

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

Verify at the official NPI Registry.