NPIMap

Organization Active NPI

Prostate Institute of America Inc

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1669061594
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROSTATE INSTITUTE OF AMERICA INC
Practice address
2320 Bath St Ste 300
Santa Barbara, CA 93105-4382
Phone
(805) 585-3082
NPI assigned
Jan 14, 2021
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
M Dean Black, MD
Title
President
Phone
(805) 682-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

2320 Bath St Ste 300
Santa Barbara, CA 93105-4382

Mailing address

2320 Bath St Ste 208
Santa Barbara, CA 93105-5322
Phone (805) 682-7744

National Provider Directory

National Provider Directory

Locations

2320 Bath St
Ste 300
Santa Barbara, CA 93105
Phone (805) 569-2462

168 N Brent St
Ste 402
Ventura, CA 93003
Phone (805) 585-3082

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1669061594",
    "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": "805-682-7744",
            "fax_number": "805-569-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 300",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054382",
            "telephone_number": "805-585-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTATE INSTITUTE OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-682-7744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.