NPIMap

Individual provider Active NPI

Thomas C. Daughters, M.D.

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1841283397
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G77781 Issued in CA
Practice address
Pueblo at Bath St.
Santa Barbara, CA 93105-4390
Phone
(805) 569-7279
Fax
(805) 569-8279
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G77781 CA Primary

Addresses

Primary practice location

Pueblo at Bath St.
Santa Barbara, CA 93105-4390

Mailing address

PO Box 4219
Orange, CA 92863-4219
Phone (714) 571-5000

Other identifiers 4

IdentifierTypeStateIssuer
050396CG24879OtherTRAILBLAZER
00G777810OtherBLUE SHIELD OF CA
300069503OtherRAILROAD MEDICARE
00G777810MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100812000771 CA Practitioner - Diagnostic Radiology 4082658893 Reassigns benefits to 1 organization
I20231122001378 AZ Practitioner - Diagnostic Radiology 4082658893

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39158 N 51St St
Cave Creek, AZ 85331-8443

400 W Pueblo St
Santa Barbara, CA 93105-4353

Hospital & facility affiliations

  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77781CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Jan 1, 2002 Accepting new patients
Sansum Clinic Current Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 4, 2024 Accepting new patients
Santa Barbara Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 1996 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jan 4, 2024 Accepting new patients
Sansum Clinic CurrentSince Jan 1, 2002 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Mission Pathology Consultants, Inc. Past Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

Organizations & group practices 9

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 6

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1841283397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4219",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928634219",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUEBLO AT BATH ST.",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054390",
            "telephone_number": "805-569-7279",
            "fax_number": "805-569-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTERS",
        "first_name": "THOMAS",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G77781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER",
            "identifier": "050396CG24879",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G777810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300069503",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G777810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.