Carrillo Surgery Center Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G68712 Issued in CA

Legal business name

CARRILLO SURGERY CENTER INC

Practice address

401 E Carrillo St
Santa Barbara, CA 93101-1460

Phone

(805) 563-3307

Fax

(805) 563-3827

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Alan P Moelleken, M.D.NPI 1649292673

Title

M.D.

Phone

(805) 563-3307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Carrillo Surgery CenterCCN 05C0001754

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Alan P Moelleken, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Santa Barbara, CA
  • NPI 1649292673
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1295891836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5457",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934035457",
            "telephone_number": "805-963-4785",
            "fax_number": "805-957-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CARRILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRILLO SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-06-17",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "MOELLEKEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "805-563-3307",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G68712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Carmona, RHS
• Mark Carnaghe, D.C.
• Carnegie Carr Corp
• Krystal C Caros, RN
• Carrillo Counseling Services, Inc
• Douglas Carrillo
• Natalia Nicole Carrillo
• Haley Elizabeth Carroll, LMFT
• Jessie Carroll, N.D.
• Mary Miles Carroll

• Orthopaedic Surgery Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.