Individual provider Active NPI

Joseph Dean Centeno, MD

  • Surgery Physician
  • Santa Maria, CA
National Provider Identifier
1467584409
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A64528 Issued in CA
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

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A645280MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000453 CA Practitioner - General Surgery 9739159310 Reassigns benefits to 1 organization

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
Okerblom Voegele and Hole MD a Professional CorporationGroup PAC ID 3577586031, 6 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64528CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okerblom Voegele and Hole MD a Professional Corporation CurrentSince Aug 9, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.