Organization Active NPI

Dominic J Tedesco MD Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Santa Barbara, CA
National Provider Identifier
1699236752
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
DOMINIC J TEDESCO MD INC.
Practice address
2400 Bath St Ste 102
Santa Barbara, CA 93105-4351
Phone
(805) 324-9144
Fax
(805) 324-9143
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Dr. Dominic J. Tedesco, MDNPI 1942300330
Title
Owner
Phone
(805) 340-4861

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

2400 Bath St Ste 102
Santa Barbara, CA 93105-4351

Mailing address

2400 Bath St Ste 102
Santa Barbara, CA 93105-4351
Phone (805) 324-9144

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1699236752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BATH ST STE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054351",
            "telephone_number": "805-324-9144",
            "fax_number": "805-324-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BATH ST STE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054351",
            "telephone_number": "805-324-9144",
            "fax_number": "805-324-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC J TEDESCO MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "TEDESCO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-340-4861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "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 Mar 29, 2019; 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.