Active NPI
Joseph Dean Centeno, MD
- Surgery Physician
- Santa Maria, CA
National Provider Identifier
1467584409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A64528
- Practice address
- 316 S Stratford Ave
Suite C
Santa Maria, CA 93454-5908 - Phone
- (805) 348-3700
- Fax
- (805) 683-3400
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A64528 | CA | Primary |
Addresses
Primary practice location
316 S Stratford Ave
Suite C
Santa Maria, CA 93454-5908
Mailing address
PO Box 1206
Goleta, CA 93116-1206
Phone (805) 964-3383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A645280 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of California, Geffen School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 E Stowell Rd
Suite C
Santa Maria, CA 93454-7010
Phone (805) 934-5140
915 E Stowell Rd C
Santa Maria, CA 93454-7010
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64528 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okerblom Voegele and Hole MD a Professional Corporation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
915 E Stowell Rd
Ste C
Santa Maria, CA 93454
Phone (805) 934-5140
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Santa Maria, CA
- NPI 1477644797
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1467584409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1206",
"city": "GOLETA",
"state": "CA",
"postal_code": "931161206",
"telephone_number": "805-964-3383",
"fax_number": "805-683-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 S STRATFORD AVE",
"address_2": "SUITE C",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545908",
"telephone_number": "805-348-3700",
"fax_number": "805-683-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTENO",
"first_name": "JOSEPH",
"middle_name": "DEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A64528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A645280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
- Esthela Castro, RDH
- Kimberly Ann Catherina, DC
- Miranda Leann Cato
- Kimberly Denise Cattaneo
- Ioana Blanca Cebulla, PHD CLINICAL PSYCH.
- Center for Pain Management, Inc.
- Center for Women'S Health and Family Birth
- Central Coast Counseling Center, Inc.
- Central Coast Emotional Wellness Licensed Clinical Social Worker
- Central Coast Family Care Medical Associates, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.