Active NPI
Daniel B Fishbein, MD
- Public Health & General Preventive Medicine Physician
- Santa Barbara, CA
National Provider Identifier
1811069263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 129962
- Practice address
- 2211 Anacapa St
Santa Barbara, CA 93105-3505 - NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 029448 | GA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 129962 | CA | Primary |
Addresses
Primary practice location
2211 Anacapa St
Santa Barbara, CA 93105-3505
Mailing address
PO Box 160
Shiprock, NM 87420
Phone (505) 368-6401
Other practice location 1
US Hwy 491 North
Shiprock, NM 87420
Phone (505) 368-6401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60439050 | Medicaid | NM | |
| 37588036 | Medicaid | CO | |
| 153050 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129962 | CA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1811069263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "87420",
"telephone_number": "505-368-6401",
"fax_number": "505-368-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 ANACAPA ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053505"
}
],
"practiceLocations": [
{
"address_1": "US Hwy 491 North",
"address_purpose": "LOCATION",
"city": "Shiprock",
"state": "NM",
"postal_code": "87420",
"country_code": "US",
"telephone_number": "505-368-6401",
"fax_number": "505-368-6431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHBEIN",
"first_name": "DANIEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "029448",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "129962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60439050",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37588036",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153050",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.