NPIMap

Organization Active NPI

Anesthesia Associates Medical Group, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Santa Barbara, CA
National Provider Identifier
1457444069
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ANESTHESIA ASSOCIATES MEDICAL GROUP, INC.
Practice address
351 S Patterson Ave
Santa Barbara, CA 93111-2403
Phone
(805) 967-3411
NPI assigned
Oct 2, 2006
Last updated
May 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Dr. David Vierra, MDNPI 1851365134
Title
MD/President
Phone
(805) 455-4588

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
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

351 S Patterson Ave
Santa Barbara, CA 93111-2403

Mailing address

PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 204-6765

Other identifiers 1

IdentifierTypeStateIssuer
CV0120OtherCARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618001382 CA Part B Supplier - Clinic/Group Practice 1951386598 Receives reassigned benefits from 22 practitioners
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

5333 Hollister Ave
Ste 130
Santa Barbara, CA 93111
Phone (805) 967-6351

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1457444069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-204-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S PATTERSON AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112403",
            "telephone_number": "805-967-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "VIERRA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "805-455-4588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CV0120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.