Active NPI
Maria Demma Ilagan Cabral, M.D.
- Pediatric Adolescent Medicine Physician
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- C182337
- Practice address
- 400 W Pueblo St
Santa Barbara, CA 93105-4353 - Phone
- (805) 682-7111
- NPI assigned
- Aug 4, 2009
- Last updated
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | C182337 | CA | Primary |
Addresses
Primary practice location
400 W Pueblo St
Santa Barbara, CA 93105-4353
Mailing address
400 W Pueblo St
Santa Barbara, CA 93105-4353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C182337 | CA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Cottage Clinical Associates | Current | Accepting new patients | |
| Cottage Medical Foundation | Current | Accepting new patients | |
| Santa Barbara Cottage Hospital | Past | Accepting new patients | |
| Michigan State University Kalamazoo Center for Medical Studies | Past | Accepting new patients |
Locations
2 James Way
Ste 112
Pismo Beach, CA 93449
Phone (805) 687-2424
400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279
5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272
5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240
4360 E Main St
#B2A
Ventura, CA 93003
4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cottage Children's Medical Group
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1235790544
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
dba Msu/KCMS
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1568467249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1467683706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W PUEBLO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W PUEBLO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054353",
"telephone_number": "805-682-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRAL",
"first_name": "MARIA DEMMA",
"middle_name": "ILAGAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "C182337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.