NPIMap

Individual provider Active NPI

William R Gallivan Jr., M.D.

  • Orthopaedic Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1790702777
Registry record updated Sep 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G73901 Issued in CA
Practice address
320 W Junipero St
Santa Barbara, CA 93105-4305
Phone
(805) 220-6020
Fax
(805) 284-0085
NPI assigned
Jul 16, 2006
Last updated
Sep 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G73901 CA Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X G73901 CA

Addresses

Primary practice location

320 W Junipero St
Santa Barbara, CA 93105-4305

Mailing address

320 W Junipero St
Santa Barbara, CA 93105-4305
Phone (805) 220-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000973 CA Practitioner - Orthopedic Surgery 9335134709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William R. Gallivan, Jr., M.D., Inc.Group PAC ID 8527380161, 4 clinicians

Practice addresses (Care Compare)

320 W Junipero St
Santa Barbara, CA 93105-4305
Phone (805) 220-6020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.41 of 100Reported as group
Quality
64.37
Improvement activities
40
Cost
65.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement49
Knee replacement147
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73901CAMDMarriage & Family Therapist
G73901CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Gallivan, Jr., M.D., Inc. Orthopaedic Surgery CurrentSince Dec 1, 2014 Accepting new patients

Locations

320 W Junipero St
Santa Barbara, CA 93105
Phone (805) 220-6020

2040 Viborg Rd
Ste 230
Solvang, CA 93463
Phone (805) 628-2418

Interoperability endpoints

  • Direct secure messaging: william.gallivan@7649886142468.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443312000000",
    "number": "1790702777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054305",
            "telephone_number": "805-220-6020",
            "fax_number": "805-284-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054305",
            "telephone_number": "805-220-6020",
            "fax_number": "805-284-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIVAN",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G73901",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "G73901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.