Individual provider Active NPI

Alain Polynice

  • Plastic Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1740396845
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C173219 Issued in CA
Practice address
1250 Coast Village Rd Ste L
Santa Barbara, CA 93108-2720
Phone
(805) 962-1957
NPI assigned
Aug 22, 2006
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 205376 NY
Plastic Surgery Physician 208200000X C173219 CA Primary

Addresses

Primary practice location

1250 Coast Village Rd Ste L
Santa Barbara, CA 93108-2720

Mailing address

1250 Coast Village Rd Ste L
Santa Barbara, CA 93108-2720
Phone (805) 962-1957

Other practice location 1

1101 Las Tablas Rd Ste G
Templeton, CA 93465-9731
Phone (805) 434-2821

Other identifiers 2

IdentifierTypeStateIssuer
205376OtherNYSTATE LICENSE
02118656MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VI2 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
I20040708001526 NY Practitioner - Plastic and Reconstructive Surgery 5597743310 Reassigns benefits to 1 organization
I20151229001013 VI Practitioner - Plastic and Reconstructive Surgery 5597743310 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C173219CAMDPlastic Surgery Physician
205376NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Apr 26, 2010 Accepting new patients
Montecito Concierge Medicine CurrentSince Nov 24, 2024 Accepting new patients
Albany Medical College Plastic Surgery CurrentSince Apr 26, 2010 Accepting new patients
Edwin F Williams III MD Facial Plastic Surgery, PLLC Plastic Surgery CurrentSince Jul 1, 2008 Accepting new patients
Comprehensive Orthopedics LLC CurrentSince Dec 1, 2015 Accepting new patients
Plastic Surgery Associates of New York Past Accepting new patients

Locations

1250 Coast Village Rd
Ste L
Santa Barbara, CA 93108
Phone (805) 962-1957

71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565

1072 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 283-2402

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

9151 Estate Thomas
Ste 206
St Thomas, VI 00802

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1740396845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 COAST VILLAGE RD STE L",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082720",
            "telephone_number": "805-962-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 COAST VILLAGE RD STE L",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082720",
            "telephone_number": "805-962-1957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Las Tablas Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934659731",
            "country_code": "US",
            "telephone_number": "805-434-2821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLYNICE",
        "first_name": "ALAIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "205376",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C173219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "205376",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02118656",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.