NPIMap

Individual provider Active NPI

David Matthew Carlson, M.D.

  • Nuclear Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1902133465
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
A103062 Issued in CA
Practice address
300 W Pueblo St
Santa Barbara, CA 93105-4311
Phone
(805) 563-5870
Fax
(805) 898-3616
NPI assigned
Nov 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X A103062 CA Primary

Addresses

Primary practice location

300 W Pueblo St
Santa Barbara, CA 93105-4311

Mailing address

PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 563-5870

Other identifiers 2

IdentifierTypeStateIssuer
00A1030620OtherCABC/BS OF CA
1902133465MedicaidCA

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
I20100802000579 CA Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 3870626567 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011

215 Pesetas LN
Santa Barbara, CA 93110-1416
Phone (805) 681-7800

300 W Pueblo St
Santa Barbara, CA 93105-4311
Phone (805) 681-1761

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103062CAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Sep 10, 2012 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 7, 2013 Accepting new patients
California Managed Imaging Medical Group, Inc CurrentSince Jan 1, 2015 Accepting new patients
Sansum Clinic CurrentSince Sep 10, 2012 Accepting new patients
University of California San Francisco CurrentSince Jun 15, 2010 Accepting new patients
University of California San Francisco Current Accepting new patients
Sansum Clinic Current Accepting new patients
University of California San Francisco CurrentSince Jun 15, 2010 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 7, 2013 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Sansum Clinic Past Accepting new patients
Pueblo Radiology Medical Group Inc Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

Dept LA 21738
Pasadena, CA 91185

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

300 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 563-5870

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

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

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

Organizations & group practices 12

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 12

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1902133465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62106",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931602106",
            "telephone_number": "805-563-5870",
            "fax_number": "805-898-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054311",
            "telephone_number": "805-563-5870",
            "fax_number": "805-898-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A103062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF CA",
            "identifier": "00A1030620",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902133465",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.