Roberto Augusto Pacheco, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38725 Issued in CA

Practice address

2323 De la Vina St
Suite # 207
Santa Barbara, CA 93105-3877

Phone

(805) 687-1106

Fax

(805) 687-5886

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pacheco-Medina Dental Corporation

  • General Practice Dentistry
  • Santa Barbara, CA
  • NPI 1750609400
  NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902020977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST",
            "address_2": "SUITE # 207",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053877",
            "telephone_number": "805-687-1106",
            "fax_number": "805-687-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 DE LA VINA ST",
            "address_2": "SUITE # 207",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053877",
            "telephone_number": "805-687-1106",
            "fax_number": "805-687-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ROBERTO",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P. Joseph Frawley M.D. Medical Group, Inc.
• Bianey Noheli Pacheco Manzo
• Pacheco-Medina Dental Corporation
• Griselda Pacheco, LVN
• Lisabeth Pacheco
• Pacific Behavioral Health Care
• Pacific Diagnostic Laboratories
• Pacific Medical, Inc.
• Pacific Medical, Inc.
• Pacific Mobile Phlebotomy Services

• Dentist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.