Individual provider Active NPI

Brian David Santacrose, M.D.

  • Pediatrics Physician
  • Santa Barbara, CA
National Provider Identifier
1275951303
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
129655 Issued in CA
Practice address
15 E Arrellaga St
Suite 1 and 2
Santa Barbara, CA 93101-2531
Phone
(805) 965-1095
Fax
(805) 965-8905
NPI assigned
Apr 5, 2014
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 129655 CA Primary

Addresses

Primary practice location

15 E Arrellaga St
Suite 1 and 2
Santa Barbara, CA 93101-2531

Mailing address

15 E Arrellaga St
Suite 1 and 2
Santa Barbara, CA 93101-2531
Phone (805) 965-1095

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
I20171213000530 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1951669399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129655CAMDPediatrics Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1275951303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E ARRELLAGA ST",
            "address_2": "SUITE 1 AND 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012531",
            "telephone_number": "805-965-1095",
            "fax_number": "805-965-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E ARRELLAGA ST",
            "address_2": "SUITE 1 AND 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012531",
            "telephone_number": "805-965-1095",
            "fax_number": "805-965-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTACROSE",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-05",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "129655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.