Organization Active NPI

Osf Medical Group of California, Inc

Doing business as Spine and Orthopedic Center

  • Orthopaedic Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1629198742
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OSF MEDICAL GROUP OF CALIFORNIA, INC
Doing business as
Spine and Orthopedic Center
Practice address
401 E Carrillo St
Santa Barbara, CA 93101-1460
Phone
(805) 563-3307
Fax
(805) 563-3827
NPI assigned
Mar 30, 2007
Last updated
Mar 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Alan P Moelleken, M.D.NPI 1649292673
Title
M.D.
Phone
(805) 563-3307

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Podiatrist 213E00000X NU

Addresses

Primary practice location

401 E Carrillo St
Santa Barbara, CA 93101-1460

Mailing address

PO Box 3559
San Luis Obispo, CA 93403-3559
Phone (805) 786-4879

Other names 1

  • Spine and Orthopedic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000796 CA Part B Supplier - Clinic/Group Practice 7315835238 Receives reassigned benefits from 12 practitioners
Practice locations: Bakersfield, CA; Santa Barbara, CA; Santa Maria, 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
05D2006417The Spine and Orthopedic Center401 East Carrillo Street, Santa Barbara, CA 93101Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory

Locations

3535 San Dimas St
Ste 2
Bakersfield, CA 93301
Phone (661) 864-1150

500 N Broadway
Ste 26
Blythe, CA 92225
Phone (760) 921-3376

451 W Gonzales Rd
Ste 25
Oxnard, CA 93036

401 E Carrillo St
Ste A
Santa Barbara, CA 93101
Phone (805) 597-8331

401 E Carrillo St
Ste B
Santa Barbara, CA 93101
Phone 80556333071112

514 W Pueblo St
#A
Santa Barbara, CA 93105

326 W Main St
Ste 120
Santa Maria, CA 93458
Phone (805) 925-9997

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1629198742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3559",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934033559",
            "telephone_number": "805-786-4879",
            "fax_number": "805-597-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CARRILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSF MEDICAL GROUP OF CALIFORNIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "MOELLEKEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "805-563-3307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Orthopedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2012; 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.