Organization Active NPI

Trautwein Medical Corporation a

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1598066755
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A82126 Issued in CA
Legal business name
TRAUTWEIN MEDICAL CORPORATION A
Practice address
515 E Micheltorena St Ste C
Santa Barbara, CA 93103-4223
Phone
(805) 563-3234
Fax
(805) 565-8926
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Dr. Eric Trautwein, M.D.NPI 1073615126
Title
President
Phone
(805) 969-4025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A82126 CA Primary

Addresses

Primary practice location

515 E Micheltorena St Ste C
Santa Barbara, CA 93103-4223

Mailing address

1805 E Cabrillo Blvd
Suite C
Santa Barbara, CA 93108-2884
Phone (805) 969-4025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110310000307 CA Part B Supplier - Clinic/Group Practice 8729260880 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

1805 E Cabrillo Blvd
Ste C
Santa Barbara, CA 93108
Phone (805) 969-4025

Practitioners & affiliated clinicians

Practitioners 1

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": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1598066755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E CABRILLO BLVD",
            "address_2": "SUITE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082884",
            "telephone_number": "805-969-4025",
            "fax_number": "805-565-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MICHELTORENA ST STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931034223",
            "telephone_number": "805-563-3234",
            "fax_number": "805-565-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUTWEIN MEDICAL CORPORATION A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "TRAUTWEIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-969-4025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82126",
            "primary": true
        }
    ],
    "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 Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.