Organization Active NPI

Vincent Tubiolo MD Inc

  • Allergy & Immunology (Internal Medicine) Physician
  • Santa Barbara, CA
National Provider Identifier
1265920045
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
G075698 Issued in CA
Legal business name
VINCENT TUBIOLO MD INC
Practice address
2320 Bath St Ste 303
Santa Barbara, CA 93105-4384
Phone
(805) 682-7385
Fax
(805) 569-3891
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Vincent C Tubiolo, MDNPI 1083778864
Title
Owner
Phone
(805) 682-7385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0201X G075698 CA Primary

Addresses

Primary practice location

2320 Bath St Ste 303
Santa Barbara, CA 93105-4384

Mailing address

2320 Bath St Ste 303
Santa Barbara, CA 93105-4384
Phone (805) 682-7385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180426001475 CA Part B Supplier - Clinic/Group Practice 9335403401 Receives reassigned benefits from 2 practitioners
Practice locations: Lompoc, CA; Santa Maria, CA; Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

116 S Palisade Dr
Ste 206
Santa Maria, CA 93454
Phone (805) 347-9992

1050 Las Tablas Rd
Ste 13
Templeton, CA 93465
Phone (805) 285-7557

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1265920045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 303",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054384",
            "telephone_number": "805-682-7385",
            "fax_number": "805-569-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 303",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054384",
            "telephone_number": "805-682-7385",
            "fax_number": "805-569-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT TUBIOLO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "TUBIOLO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-682-7385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "G075698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.