Individual provider Active NPI

Henning Ansorg, M.D.

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1629113402
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C138870 Issued in CA
Practice address
345 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone
(805) 681-5488
Fax
(805) 681-5411
NPI assigned
Feb 20, 2007
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34311 AZ
Internal Medicine Physician 207R00000X C138870 CA Primary

Addresses

Primary practice location

345 Camino del Remedio
Santa Barbara, CA 93110-1332

Mailing address

300 N San Antonio Rd RM 107
Santa Barbara, CA 93110-1316
Phone (805) 681-5461

Other practice location 1

2935 Southwest Dr
Sedona, AZ 86336-3797
Phone (928) 203-4863

Other identifiers 2

IdentifierTypeStateIssuer
959273MedicaidAZ
AZ0786660OtherAZBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518002048 CA Practitioner - Internal Medicine 1456380781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

300 N San Antonio Rd
Santa Barbara, CA 93110-1316
Phone (805) 681-5461

301 N 'R' St
Lompoc, CA 93436-5226
Phone (805) 737-6400

305 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (888) 868-1649

315 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (805) 884-6850

322 N San Antonio Rd
Cnty of SB Men Tal
Santa Barbara, CA 93110-1316
Phone (805) 681-5220

345 Camino del Remedio
Santa Barbara, CA 93110-1332
Phone (805) 681-5488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34311AZMDInternal Medicine Physician
C138870CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor CurrentSince Jun 1, 2016 Accepting new patients
Santa Barbara County Auditor CurrentSince Jun 1, 2016 Accepting new patients

Locations

300 N San Antonio Rd
#107
Santa Barbara, CA 93110
Phone (805) 681-5461

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

345 Camino del Remedio
Santa Barbara, CA 93110
Phone (805) 681-5214

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629113402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD RM 107",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101316",
            "telephone_number": "805-681-5461",
            "fax_number": "805-681-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CAMINO DEL REMEDIO",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101332",
            "telephone_number": "805-681-5488",
            "fax_number": "805-681-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2935 Southwest Dr",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863363797",
            "country_code": "US",
            "telephone_number": "928-203-4863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSORG",
        "first_name": "HENNING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34311",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C138870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "959273",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0786660",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.