Individual provider Active NPI

Tushar Chandrakant Yadav, M.D.

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1740201904
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66425 Issued in CA
Practice address
2115 Centerpointe Pkwy
Santa Maria, CA 93455-1334
Phone
(805) 346-7230
Fax
(805) 346-7278
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 A66425 CA Primary

Addresses

Primary practice location

2115 Centerpointe Pkwy
Santa Maria, CA 93455-1334

Mailing address

300 N San Antonio Rd
Santa Barbara, CA 93110-1316
Phone (805) 681-5461

Other identifiers 2

IdentifierTypeStateIssuer
00A664250MedicaidCA
A66425OtherCAMED LICENSE

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
I20071017000448 CA Practitioner - Family PracticePractitioner - Emergency Medicine 5294821625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

2115 S Centerpointe Pkwy
Santa Maria Health Care Center
Santa Maria, CA 93455-1334
Phone (805) 346-7230

300 N San Antonio Rd
Santa Barbara, CA 93110-1316

322 N San Antonio Rd
Cnty of SB Men Tal
Santa Barbara, CA 93110-1316
Phone (805) 681-5220

Hospital & facility affiliations

  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66425CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor CurrentSince Jun 7, 2010 Accepting new patients
Santa Barbara County Auditor Current Accepting new patients
Santa Barbara County Auditor CurrentSince Jun 7, 2010 Accepting new patients
Central Coast in-Patient Consultants, Inc. Family Medicine Past Accepting new patients

Locations

300 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 681-5220

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

2115 Centerpointe Pkwy
Santa Maria, CA 93455
Phone (805) 346-7230

Organizations & group practices 4

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1740201904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101316",
            "telephone_number": "805-681-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CENTERPOINTE PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551334",
            "telephone_number": "805-346-7230",
            "fax_number": "805-346-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADAV",
        "first_name": "TUSHAR",
        "middle_name": "CHANDRAKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A664250",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "A66425",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.