Individual provider Active NPI

David John Mills, MD

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1407915226
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
50296 Issued in MN
Practice address
2830 Puesta del Sol
Santa Barbara, CA 93105
Phone
(805) 682-9666
Fax
(612) 573-2274
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X G77889 CA
Diagnostic Radiology Physician 2085R0202X 50296 MN Primary

Addresses

Primary practice location

2830 Puesta del Sol
Santa Barbara, CA 93105

Mailing address

2830 Puesta del Sol
Santa Barbara, CA 93105-3006
Phone (805) 682-9666

Other identifiers 11

IdentifierTypeStateIssuer
1407915226OtherMNAMERICA'S PPO
134996OtherMNUCARE
1407915226OtherMNMEDICA
960371052306OtherMNPREFERRED ONE
03083COOtherMNBLUE CROSS AND BLUE SHIELD OF MN
612627100MedicaidMN
34954100MedicaidWI
HP79266OtherMNHEALTHPARTNERS
P00473006OtherMNRR MEDICARE
1407915226MedicaidIA
254738OtherMNMIDLANDS CHOICE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20070920000419 ND Practitioner - Diagnostic Radiology 2668566787 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1393AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Home Care CurrentSince Oct 1, 2012 Accepting new patients
Mercy Medical Center CurrentSince Oct 1, 2012 Accepting new patients
Mercy Medical Center Current Accepting new patients
Alaska Imaging Associates, LLC Diagnostic Radiology PastSince Oct 25, 2020 Accepting new patients
Allina Health System Past Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1407915226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 PUESTA DEL SOL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053006",
            "telephone_number": "805-682-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 PUESTA DEL SOL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105",
            "telephone_number": "805-682-9666",
            "fax_number": "612-573-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "CA",
            "license": "G77889",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "50296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "1407915226",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "134996",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1407915226",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "960371052306",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF MN",
            "identifier": "03083CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612627100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34954100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP79266",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00473006",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407915226",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE INC",
            "identifier": "254738",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.