Individual provider Active NPI

Alexandra Reis, M.D.

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1912485913
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A195630 Issued in CA
Practice address
Santa Barbara Radiology Medical Group
400 W Pueblo St
Santa Barbara, CA 93105
Phone
(805) 569-7279
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 A195630 CA Primary

Addresses

Primary practice location

Santa Barbara Radiology Medical Group
400 W Pueblo St
Santa Barbara, CA 93105

Mailing address

Santa Barbara Radiology Medical Group
400 W Pueblo St
Santa Barbara, CA 93105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241122002936 CA Practitioner - Diagnostic Radiology 2163957440 Reassigns benefits to 3 organizations
I20260415003613 NY Practitioner - Diagnostic Radiology 2163957440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Barbara Radiology Medical Group, Inc.Group PAC ID 6800872953, 9 clinicians

Practice addresses (Care Compare)

400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone (805) 569-7279

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A195630CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Radiology Medical Group Inc Diagnostic Radiology CurrentSince Nov 19, 2024 Accepting new patients
Sansum Clinic CurrentSince Nov 16, 2024 Accepting new patients
Sansum Clinic CurrentSince Nov 16, 2024 Accepting new patients
Sansum Clinic Current 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

400 W Pueblo St
Ofc
Santa Barbara, CA 93105
Phone (805) 569-7315

Organizations & group practices 7

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 5

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1912485913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA BARBARA RADIOLOGY MEDICAL GROUP",
            "address_2": "400 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA BARBARA RADIOLOGY MEDICAL GROUP",
            "address_2": "400 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93105",
            "telephone_number": "805-569-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "ALEXANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A195630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.