NPIMap

Individual provider Active NPI

Benjamin Johnson

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1619269958
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A125703 Issued in CA
Practice address
2320 Bath St Ste 113
Santa Barbara, CA 93105-4339
Phone
(805) 682-7744
Fax
(805) 682-3321
NPI assigned
May 4, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A125703 CA Primary

Addresses

Primary practice location

2320 Bath St Ste 113
Santa Barbara, CA 93105-4339

Mailing address

2320 Bath St Ste 208
Santa Barbara, CA 93105-5322
Phone (805) 682-7984

Other practice location 1

1161 21st Ave S
D-4314 Medical Center North, Dept of Surgery
Nashville, TN 37232-2730
Phone (615) 343-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160630001193 CA Practitioner - Diagnostic Radiology 3375835937 Reassigns benefits to 6 organizations
I20230710002368 TX Practitioner - Diagnostic Radiology 3375835937 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Davis School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiological Physician Associates IncGroup PAC ID 7719955368, 31 clinicians

Practice addresses (Care Compare)

5343 Plunkett LN
Santa Barbara, CA 93111-1761
Phone (650) 248-7080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125703CAMDMarriage & Family Therapist
A125703CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MRI LP CurrentSince Jun 1, 2023 Accepting new patients
North Star FP, LP CurrentSince Jun 1, 2023 Accepting new patients
North Star FM, LP CurrentSince Jun 1, 2023 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Jun 1, 2023 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jun 1, 2023 Accepting new patients
Radiological Physician Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients

Locations

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

8501 Wade Blvd
#220N
Frisco, TX 75034

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

700 Village Dr
Fairmont, WV 26554

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619269958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 208",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055322",
            "telephone_number": "805-682-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 113",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054339",
            "telephone_number": "805-682-7744",
            "fax_number": "805-682-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 21st Ave S",
            "address_2": "D-4314 Medical Center North, Dept of Surgery",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372322730",
            "country_code": "US",
            "telephone_number": "615-343-6642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A125703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.