Carlos Untal, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A90379 Issued in CA

Practice address

10 Santa Rosa Street
Suite 201
San Luis Obispo, CA 93405

Phone

(805) 782-8132

Fax

(805) 597-8350

NPI assigned

Dec 15, 2005

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Emergency MedicineAlso: Interventional Pain Management

Education

Other, 2000

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)

Hospital & facility affiliations

• French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score

32.72 of 100Reported as individual

Quality

15

Improvement activities

0

Cost

63.27

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: carlos.untal.1@22602.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hullander and Mozingo LP

  • Interventional Pain Medicine Physician
  • Santa Barbara, CA
  • NPI 1164449880

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Coast Pain and Spine Institute

  • Pain Medicine (Anesthesiology) Physician
  • Grover Beach, CA
  • NPI 1598528598
  NPD Authorized official
• Pain Management Specialists Medical Group

  • Specialist
  • San Luis Obispo, CA
  • NPI 1265435416
  Medicare reassignment
• Hullander and Mozingo LP

  dba Pacific Pain Physicians

  • Interventional Pain Medicine Physician
  • Bakersfield, CA
  • NPI 1033606553
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba French Hospital Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1316923998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4659",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934034659",
            "telephone_number": "805-782-8132",
            "fax_number": "805-597-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SANTA ROSA STREET",
            "address_2": "SUITE 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93405",
            "telephone_number": "805-782-8132",
            "fax_number": "805-597-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTAL",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A90379",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A90379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN INDEX #",
            "identifier": "009350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Ulrey
• Joseph Cesar Umaly
• Pamela Sue Underdahl-Boyle, RN
• United Cerebral Palsy (Ride-On transportation)
• Estefania Unruh
• Cassidy Urbany
• Taylor Kristine Ureta
• Edward J Urias
• Urology Associates of the Central Coast (Urology Associates of San Luis Obispo)
• Urology Associates of the Central Coast

• Pain Medicine (Anesthesiology) Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.