Active NPI
Mark Wienpahl, MD
- Family Medicine Physician
- Goleta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G88817
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003610001 | Other | PALMETTO DME | |
| NM009J54 | Other | NM | BCBS |
| WIW34932 | Other | CO | BCBS |
| 01233758 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corporation
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88817 | CA | MD | Pharmacist |
| G88817 | CA | MD | Family Medicine Physician |
| 23375 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcenter Inc a Medical Corporation | Family Medicine | Current | Accepting new patients |
| Zugan Health Medical Corporation | Family Medicine | Current | Accepting new patients |
| The Medcenter, Inc. | Family Medicine | Current | Accepting new patients |
| The Medcenter, Inc. | Family Medicine | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Santa Barbara, CA
- NPI 1750760765
CA, Family Medicine
-
- Family Medicine Physician
- Santa Barbara, CA
- NPI 1689773103
Family Medicine
-
- Specialist
- Pagosa Springs, CO
- NPI 1235174392
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.
- 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.