Organization Active NPI

Joy T. Vanterpool MD Inc

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1386788925
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A75691 Issued in CA
Legal business name
JOY T. VANTERPOOL MD INC
Practice address
2342 Professional Pkwy
Suite 260
Santa Maria, CA 93455-1629
Phone
(805) 348-3950
Fax
(805) 348-3901
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Dr. Joy T. Vanterpool, M.D.NPI 1710966684
Title
Owner
Phone
(805) 348-3950

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A75691 CA Primary

Addresses

Primary practice location

2342 Professional Pkwy
Suite 260
Santa Maria, CA 93455-1629

Mailing address

2342 Professional Pkwy
Suite 260
Santa Maria, CA 93455-1629
Phone (805) 348-3950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000602 CA Part B Supplier - Clinic/Group Practice 8022106293 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Maria, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1007635Joy T Vanterpool MD Inc2342 Professional Parkway Suite 260, Santa Maria, CA 93455Certificate of waiverDec 23, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1386788925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "SUITE 260",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551629",
            "telephone_number": "805-348-3950",
            "fax_number": "805-348-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "SUITE 260",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551629",
            "telephone_number": "805-348-3950",
            "fax_number": "805-348-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY T. VANTERPOOL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "VANTERPOOL",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-348-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.