Individual provider Active NPI

Michael R Ancona Jr., DO

  • Anesthesiology Physician
National Provider Identifier
1659534626
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A8060 Issued in CA
Practice address
Naval Hospital Guantanamo Bay Cuba
Fpo, AE 09589
Phone
011539972160
NPI assigned
Jul 9, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A8060 CA Primary

Addresses

Primary practice location

Naval Hospital Guantanamo Bay Cuba
Fpo, AE 09589

Mailing address

Naval Hospital Guantanamo Bay Cuba
Box 22
Fpo, AE 09589
Phone 011539972160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191021000467 CA Practitioner - Anesthesiology 3971834144 Reassigns benefits to 2 organizations
I20221101003387 CO Practitioner - Anesthesiology 3971834144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates Medical Group, Inc.Group PAC ID 1951386598, 10 clinicians

Practice addresses (Care Compare)

351 S Patterson Ave
Santa Barbara, CA 93111-2403
Phone (805) 967-3411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8060CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hullander and Mozingo LP CurrentSince Nov 1, 2024 Accepting new patients
Hullander and Mozingo LP Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Anesthesia Associates Medical Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Sep 29, 2022 Accepting new patients
Complete Care Office Anesthesia LLC Past Accepting new patients

Locations

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

231 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 898-2797

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 776-3185

Organizations & group practices 5

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 1

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1659534626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "NAVAL HOSPITAL GUANTANAMO BAY CUBA",
            "address_2": "BOX 22",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09589",
            "telephone_number": "011539972160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "NAVAL HOSPITAL GUANTANAMO BAY CUBA",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09589",
            "telephone_number": "011539972160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCONA",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A8060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.