Cold Springs Medical Surgical Group LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COLD SPRINGS MEDICAL SURGICAL GROUP LLC

Practice address

2323 De la Vina St
Suite 102
Santa Barbara, CA 93105

Phone

(805) 682-5065

Fax

(805) 682-5921

NPI assigned

Jan 25, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other names 1

• De La Vina Surgicenter Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospital certification: CCN 050838

Legal name

DE LA VINA SURGICENTER

Certification status

Terminated Voluntary: other reason for withdrawal, Mar 1, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Feb 4, 2021

Last certification

Feb 4, 2021

Beds

1

Ownership / control type

Private (for profit)

Facility address

2323 De la Vina St Ste 102
Santa Barbara, CA 93105

Listed as

De la Vina SurgicenterCCN 05C0001194

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Jameson Behrman, MD

  • Orthopaedic Hand Surgery Physician
  • Santa Barbara, CA
  • NPI 1932217411
  NPD (past)
• Carol Del Ciello, MD

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1619061553
  NPD (past)
• Joseph T Garofalo, D.P.M.

  • Podiatrist
  • Santa Barbara, CA
  • NPI 1750476651
  NPD (past)
• Judith Marie Holmgren, MD

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1558455493
  NPD (past)
• John Francis Przonek, M.D.

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1467533158
  NPD (past)
• Rachel Stein

  • Registered Nurse
  • Santa Barbara, CA
  • NPI 1326990755
  NPD (past)
• Charlene Walton, MD

  • Anesthesiology Physician
  • Indianapolis, IN
  • NPI 1972549087
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1639149255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST",
            "address_2": "SUITE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105",
            "telephone_number": "805-682-5065",
            "fax_number": "805-682-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST",
            "address_2": "SUITE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105",
            "telephone_number": "805-682-5065",
            "fax_number": "805-682-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLD SPRINGS MEDICAL SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De La Vina Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "De La Vina Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Michael Cohen, LMFT131840, APCC7321
• Emily Jane Ishikawa Cohen
• Rachel Eilon Cohen
• Mark D Cohoon, PA-C
• Elizabeth A. Coker, PT
• Christine Cole
• Rachel Cole, AMFT
• Sarah Elizabeth Cole
• Iliana Q Coleman, RN
• Jonathan Patrick Coll, M.D.

• Ambulatory Surgical Clinic/Center in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.