Active NPI
Central Coast Cardiovascular Group Inc
- Cardiovascular Disease Physician
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CENTRAL COAST CARDIOVASCULAR GROUP INC
- Practice address
- 334 S Patterson Ave Ste 208
Santa Barbara, CA 93111-2400 - Phone
- (805) 967-0497
- Fax
- (805) 638-0322
- NPI assigned
- May 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aubrey Traub
- Title
- Office Manager
- Phone
- (805) 967-0497
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X |
Addresses
Primary practice location
334 S Patterson Ave Ste 208
Santa Barbara, CA 93111-2400
Mailing address
2937 Loma Vista Rd
Ventura, CA 93003-2915
Phone (805) 648-2763
Other practice location 1
1901 Outlet Center Dr Ste 210
Oxnard, CA 93036
Phone (805) 485-3800
Other practice location 2
2937 Loma Vista Rd
Ventura, CA 93003
Phone (805) 648-2763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190729002766 | CA | Part B Supplier - Clinic/Group Practice | 6800122870 |
Receives reassigned benefits from 3 practitioners Practice locations: Santa Barbara, CA; Ventura, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2172796 | Central Coast Cardiovascular Group, Inc | Certificate of waiver | Sep 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
334 S Patterson Ave
Ste 208
Santa Barbara, CA 93111
Phone (805) 967-0497
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Ventura, CA
- NPI 1457364655
CA, Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Oxnard, CA
- NPI 1881798056
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1568027043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2937 LOMA VISTA RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032915",
"telephone_number": "805-648-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 S PATTERSON AVE STE 208",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931112400",
"telephone_number": "805-967-0497",
"fax_number": "805-638-0322"
}
],
"practiceLocations": [
{
"address_1": "1901 Outlet Center Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "93036",
"country_code": "US",
"telephone_number": "805-485-3800",
"fax_number": "805-485-3839",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2937 Loma Vista Rd",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "93003",
"country_code": "US",
"telephone_number": "805-648-2763",
"fax_number": "805-628-3601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTRAL COAST CARDIOVASCULAR GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-09",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "TRAUB",
"authorized_official_first_name": "AUBREY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "805-967-0497"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
- Lino Celio-Arredondo
- Center for Developmental Play and Learning Inc
- Center for Psychotherapy & Integrative Health, a Marriage & Family the
- Center for Successful Aging
- Central California Movement Disorders
- Central Coast Critical Care Associates
- Central Coast Eating Disorder Program Services and Workshop
- Central Coast Mens Health LLC
- Central Coast Movement Disorders Specialists
- Central Coast Orthopedic Supply
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.