Organization Active NPI

Central Coast Cardiovascular Group Inc

  • Cardiovascular Disease Physician
  • Santa Barbara, CA
National Provider Identifier
1568027043
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Nov 26, 2024

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2172796Central Coast Cardiovascular Group, Inc334 South Patterson Avenue #208, Santa Barbara, CA 93111Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.