Organization Active NPI

Donald E Lindblad MD AMC

  • Obstetrics & Gynecology Physician
  • Santa Barbara, CA
National Provider Identifier
1457481814
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G14482 Issued in CA
Legal business name
DONALD E LINDBLAD MD AMC
Practice address
334 S Patterson Ave
Suite 203
Santa Barbara, CA 93111-2400
Phone
(805) 967-3443
Fax
(805) 967-1504
NPI assigned
Mar 6, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Donald Eugene Lindblad, M.D.NPI 1821090887
Title
Owner-President
Phone
(805) 967-3443

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
Obstetrics & Gynecology Physician 207V00000X G14482 CA Primary

Addresses

Primary practice location

334 S Patterson Ave
Suite 203
Santa Barbara, CA 93111-2400

Mailing address

334 S Patterson Ave
Suite 203
Santa Barbara, CA 93111-2400
Phone (805) 967-3443

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ85377ZOtherCABLUE SHIELD PIN
00G144820MedicaidCA
GR0002220MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000656 CA Part B Supplier - Clinic/Group Practice 6800042052 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

2323 Oak Park Ln
Ste 101
Santa Barbara, CA 93105
Phone (805) 569-2221

334 S Patterson Ave
Ste 203
Santa Barbara, CA 93111
Phone (805) 617-7878

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1457481814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 S PATTERSON AVE",
            "address_2": "SUITE 203",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112400",
            "telephone_number": "805-967-3443",
            "fax_number": "805-967-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 S PATTERSON AVE",
            "address_2": "SUITE 203",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112400",
            "telephone_number": "805-967-3443",
            "fax_number": "805-967-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E LINDBLAD MD AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "LINDBLAD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "805-967-3443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G14482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ85377Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G144820",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0002220",
            "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 Oct 23, 2007; 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.