Individual provider Active NPI

Miguel Pedroza, M.D

  • Family Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1467622209
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A99833 Issued in CA
Practice address
Ucsb Student Health Services
Building 588, M/C 7002
Santa Barbara, CA 93106-7002
Phone
(805) 893-3088
NPI assigned
Mar 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A99833 CA Primary

Addresses

Primary practice location

Ucsb Student Health Services
Building 588, M/C 7002
Santa Barbara, CA 93106-7002

Mailing address

Ucsb SHS Building 588, M/C 7002
Santa Barbara, CA 93106-7002
Phone (805) 652-6656

Other practice location 1

215 Pesetas Ln
Santa Barbara, CA 93110-1416
Phone (805) 563-6110

Other identifiers 1

IdentifierTypeStateIssuer
A99833OtherCASTATE MEDICAL LICENSE

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
I20090826000057 CA Practitioner - Family Practice 7810042942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

215 Pesetas LN
Santa Barbara, CA 93110-1416
Phone (805) 681-7800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Dec 30, 2017 Accepting new patients
County of Ventura CurrentSince Jul 1, 2009 Accepting new patients
County of Ventura CurrentSince Jul 1, 2009 Accepting new patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Dec 30, 2017 Accepting new patients
County of Ventura Current Accepting new patients
Last Frontier Healthcare District CurrentSince Dec 28, 2011 Accepting new patients
Lawrence W. Chespak, M.D., a Prof Corp Past Accepting new patients

Locations

1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800

120 S Main St
Ste A
Alturas, CA 96101
Phone (530) 233-7054

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

2240 E Gonzales Rd
Ste 110
Oxnard, CA 93036
Phone (805) 961-5161

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000

125 W Thousand Oaks Blvd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-9100

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 8

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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1467622209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCSB SHS BUILDING 588, M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067002",
            "telephone_number": "805-652-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSB STUDENT HEALTH SERVICES",
            "address_2": "BUILDING 588, M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067002",
            "telephone_number": "805-893-3088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Pesetas Ln",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931101416",
            "country_code": "US",
            "telephone_number": "805-563-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDROZA",
        "first_name": "MIGUEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A99833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A99833",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.