Organization Active NPI

Victor a Tacconelli, MD, Inc

  • Orthopaedic Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1487804522
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G27913 Issued in CA
Legal business name
VICTOR A TACCONELLI, MD, INC
Practice address
5333 Hollister Ave
Ste 135
Santa Barbara, CA 93111-2341
Phone
(805) 967-9311
Fax
(805) 967-4192
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Victor Andrew Tacconelli, MD
Title
Owner
Phone
(805) 967-9311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G27913 CA Primary

Addresses

Primary practice location

5333 Hollister Ave
Ste 135
Santa Barbara, CA 93111-2341

Mailing address

5333 Hollister Ave
Ste 135
Santa Barbara, CA 93111-2341
Phone (805) 967-9311

Other names 1

  • ORTHOPEDIC SURGICAL PRACTICE Doing business as

National Provider Directory

National Provider Directory

Locations

2030 Viborg Rd
Ste 104
Solvang, CA 93463
Phone (805) 892-8222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1487804522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "STE 135",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "805-967-9311",
            "fax_number": "805-967-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "STE 135",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "805-967-9311",
            "fax_number": "805-967-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR A TACCONELLI, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "TACCONELLI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-967-9311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G27913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOPEDIC SURGICAL PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.