Individual provider Active NPI

Ralph D Mozingo, DO

  • Anesthesiology Physician
  • Santa Barbara, CA
National Provider Identifier
1245257963
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A6316 Issued in CA
Practice address
3045 De la Vina St
Santa Barbara, CA 93105-3351
Phone
(805) 563-0363
Fax
(805) 563-0364
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A6316 CA Primary
Interventional Pain Medicine Physician 208VP0014X 20A6316 CA

Addresses

Primary practice location

3045 De la Vina St
Santa Barbara, CA 93105-3351

Mailing address

PO Box 3880
Santa Barbara, CA 93130-3880
Phone (805) 563-0363

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
I20040806001226 CA Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 2365437688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hullander and Mozingo LPGroup PAC ID 3971543752, 9 clinicians

Practice addresses (Care Compare)

1551 Bishop St
Suite 210
San Luis Obispo, CA 93401-4661
Phone (805) 329-6262

222 W Pueblo St
Santa Barbara, CA 93105-3805
Phone (805) 563-0363

2901 Sillect Ave
Suite 200
Bakersfield, CA 93308-6373
Phone (661) 401-6150

525 Plaza Dr
Suite 204
Santa Maria, CA 93454-6954
Phone (805) 563-0363

8844 Morro Rd
Atascadero, CA 93422-3953
Phone (805) 329-6262

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hullander and Mozingo LP Anesthesiology CurrentSince Jun 1, 2004 Accepting new patients
Kern River Surgery Center, LLC Current Accepting new patients
Valhalla Surgery Center, LLC Current Accepting new patients
Coastal Surgery Center Partners CurrentSince Mar 1, 2020 Accepting new patients
Hullander and Mozingo LP Interventional Pain Medicine CurrentSince Sep 15, 2003 Accepting new patients

Locations

8844 Morro Rd
Atascadero, CA 93422
Phone (805) 329-6262

6717 Morro Rd
Atascadero, CA 93422
Phone (805) 550-0594

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

4472 Broad St
San Luis Obispo, CA 93401

222 W Pueblo St
Ste B
Santa Barbara, CA 93105

3045 De la Vina St
Fl 1
Santa Barbara, CA 93105

536 E Arrellaga St
Ste 104
Santa Barbara, CA 93103
Phone 80556303631511

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

3045 De la Vina St
Fl 2
Santa Barbara, CA 93105

3045 De la Vina St
Santa Barbara, CA 93105
Phone (805) 569-3226

525 Plaza Dr
Ste 204B
Santa Maria, CA 93454
Phone (805) 739-3000

1551 Bishop St
Ste 210
Sn Luis Obisp, CA 93401
Phone (805) 329-6262

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ralph.mozingo.1@22602.direct.athenahealth.com

Organizations & group practices 6

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1245257963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3880",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931303880",
            "telephone_number": "805-563-0363",
            "fax_number": "805-563-0364"
        },
        {
            "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": "805-563-0363",
            "fax_number": "805-563-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZINGO",
        "first_name": "RALPH",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A6316",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A6316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.