Hamid Reza Redjal, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A99471 Issued in CA

Practice address

401 E Carrillo St
Santa Barbara, CA 93101-1460

Phone

(805) 563-3307

Fax

(805) 563-0998

NPI assigned

Aug 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1780875393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 CALLE PATRICIA",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721939",
            "telephone_number": "573-388-3030",
            "fax_number": "573-335-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CARRILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDJAL",
        "first_name": "HAMID",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A99471",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2012037238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCA MEDICAL LICENSE",
            "identifier": "A99471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Record
• Recovery Road Medical Center
• Recovery Santa Barbara, Inc.
• Recovery SB
• Andre Fahamivu Redick
• Sharise Michelle Redmond, PHARMD
• Dezerick L Reed
• Julie W Reed, P.A.
• Michael James Reed, M.D.
• Kim Reedy, HEALTH CARE PROVIDER

• Orthopaedic Surgery Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.