NPIMap

Organization Active NPI

The Medcenter, Inc.

  • Family Medicine Physician
  • Goleta, CA
National Provider Identifier
1457402273
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE MEDCENTER, INC.
Practice address
271 N Fairview Ave Ste 101
Goleta, CA 93117-6284
Phone
(805) 681-7411
Fax
(805) 681-7410
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Mrs. Rocio Reynosa
Title
Administrator
Phone
(805) 681-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

271 N Fairview Ave Ste 101
Goleta, CA 93117-6284

Mailing address

271 N Fairview Ave Ste 101
Goleta, CA 93117-6284
Phone (805) 681-7411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050103000502 CA Part B Supplier - Clinic/Group Practice 6406814722 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
Practice locations: Goleta, CA; Santa Barbara, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

271 N Fairview Ave
Ste 101
Goleta, CA 93117
Phone (805) 681-7411

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1457402273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 N FAIRVIEW AVE STE 101",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931176284",
            "telephone_number": "805-681-7411",
            "fax_number": "805-681-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 N FAIRVIEW AVE STE 101",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931176284",
            "telephone_number": "805-681-7411",
            "fax_number": "805-681-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDCENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "REYNOSA",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-681-7410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.