Individual provider Active NPI

Mark Wienpahl, MD

  • Family Medicine Physician
  • Goleta, CA
National Provider Identifier
1962438341
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G88817 Issued in CA
Practice address
271 N Fairview Ave Ste 101
Goleta, CA 93117-6284
Phone
(805) 898-0355
Fax
(805) 682-6933
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23375 CO
Family Medicine Physician 207Q00000X G88817 CA Primary

Addresses

Primary practice location

271 N Fairview Ave Ste 101
Goleta, CA 93117-6284

Mailing address

319 N Milpas St
Santa Barbara, CA 93103-3262

Other identifiers 4

IdentifierTypeStateIssuer
6003610001OtherPALMETTO DME
NM009J54OtherNMBCBS
WIW34932OtherCOBCBS
01233758MedicaidCO

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012002428 CA Practitioner - Family Practice 0143314427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medcenter Inc a Medical CorporationGroup PAC ID 6406814722, 6 clinicians

Practice addresses (Care Compare)

2954 State St
Santa Barbara, CA 93105-3418
Phone (805) 682-7411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88817CAMDPharmacist
G88817CAMDFamily Medicine Physician
23375COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcenter Inc a Medical Corporation Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Zugan Health Medical Corporation Family Medicine CurrentSince Jul 27, 2023 Accepting new patients
The Medcenter, Inc. Family Medicine Current Accepting new patients
The Medcenter, Inc. Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Pagosa Springs Family Medical Center Past Accepting new patients

Locations

271 N Fairview Ave
Ste 101
Goleta, CA 93117
Phone (805) 681-7411

1100 Chapala St
Santa Barbara, CA 93101
Phone (805) 395-4946

2954 State St
Santa Barbara, CA 93105
Phone (805) 682-7411

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7771e67c-eed3-4c07-8b39-4ee1de7dfb76/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1962438341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N MILPAS ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931033262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 N FAIRVIEW AVE STE 101",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931176284",
            "telephone_number": "805-898-0355",
            "fax_number": "805-682-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENPAHL",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "23375",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G88817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DME",
            "identifier": "6003610001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM009J54",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "WIW34932",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01233758",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.