Organization Active NPI

Santa Barbara Internal Medicine Group a Medical Corporation

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1942234539
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SANTA BARBARA INTERNAL MEDICINE GROUP A MEDICAL CORPORATION
Practice address
5333 Hollister Ave
#201
Santa Barbara, CA 93111-2341
Phone
(805) 964-9858
NPI assigned
Jul 10, 2006
Last updated
Dec 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
David BirkenNPI 1700801321
Title
Dr.
Phone
(805) 964-9858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5333 Hollister Ave
#201
Santa Barbara, CA 93111-2341

Mailing address

PO Box 6676
Santa Barbara, CA 93160-6676
Phone (805) 964-9858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040206000623 CA Part B Supplier - Clinic/Group Practice 3173416617 Receives reassigned benefits from 5 practitioners
Practice locations: Santa Barbara, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0895905Santa Barbara Internal Med Group5333 Hollister Ave Suite 201, Santa Barbara, CA 93111Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

5333 Hollister Ave
Ste 201
Santa Barbara, CA 93111
Phone (805) 964-9858

5333 Hollister Ave
Ste 255
Santa Barbara, CA 93111
Phone (805) 681-7204

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1942234539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6676",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931606676",
            "telephone_number": "805-964-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "#201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "805-964-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA INTERNAL MEDICINE GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "BIRKEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "805-964-9858"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.