Individual provider Active NPI

Joy Vanterpool, M.D.

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1710966684
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A75691 Issued in CA
Practice address
2342 Professional Pkwy
Sutie 260
Santa Maria, CA 93455-1629
Phone
(805) 348-3950
Fax
(805) 348-3901
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A75691 CA Primary

Addresses

Primary practice location

2342 Professional Pkwy
Sutie 260
Santa Maria, CA 93455-1629

Mailing address

2342 Professional Pkwy
Sutie 260
Santa Maria, CA 93455-1629
Phone (805) 348-3950

Other identifiers 3

IdentifierTypeStateIssuer
7290306OtherAETNA US HEALTHCARE
A75691OtherCABLUE CROSS
00A756910OtherCABLUE SHIELD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000035 CA Practitioner - Family Practice 3274423587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2342 Professional Pkwy
Suite 260
Santa Maria, CA 93455-6820
Phone (805) 348-3950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75691CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joy T. Vanterpool MD Inc Family Medicine CurrentSince Feb 1, 2007 Accepting new patients
Dignity Health Past Accepting new patients

Locations

2342 Professional Pkwy
Ste 260
Santa Maria, CA 93455
Phone (805) 348-3910

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1710966684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "SUTIE 260",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551629",
            "telephone_number": "805-348-3950",
            "fax_number": "805-348-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "SUTIE 260",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551629",
            "telephone_number": "805-348-3950",
            "fax_number": "805-348-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTERPOOL",
        "first_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7290306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A75691",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00A756910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.