Montecito Geriatric Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MONTECITO GERIATRIC MEDICAL GROUP INC

Practice address

219 Nogales Ave Ste D
Santa Barbara, CA 93105-3848

Phone

(805) 969-4382

Fax

(805) 284-9556

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Todd FearerNPI 1619960903

Title

MD

Phone

(805) 963-1997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Todd A Fearer, MD

  • Internal Medicine Physician
  • Santa Barbara, CA
  • NPI 1619960903
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1356981096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50706",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931500706",
            "telephone_number": "805-963-1997",
            "fax_number": "805-564-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 NOGALES AVE STE D",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053848",
            "telephone_number": "805-969-4382",
            "fax_number": "805-284-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTECITO GERIATRIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "FEARER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "805-963-1997"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montage Recovery Ca, LLC
• Mary Arlene Montalvo
• Montana Rehabilitation Therapy
• Montana Rehabilitation Therapyu
• Angela Montanez
• Montecito Retirement Association
• Montecito RX
• Montecito RX
• Montecito Surgery Center
• Heath Michael Montgomery, D.M.D.

• Internal Medicine Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.