Active NPI
Mark H Musicant, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Santa Barbara, CA
National Provider Identifier
1962595561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- G29849
- Practice address
- 101 S Patterson Ave
Santa Barbara, CA 93111-2005 - Phone
- (805) 898-3311
- Fax
- (805) 964-9645
- NPI assigned
- Oct 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | G29849 | CA | Primary |
Addresses
Primary practice location
101 S Patterson Ave
Santa Barbara, CA 93111-2005
Mailing address
PO Box 62106
Santa Barbara, CA 93160
Phone (805) 681-1761
Other practice location 1
317 W. Pueblo St.
Santa Barbara, CA 93105
Phone (805) 681-1761
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29849 | CA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sansum Clinic | Current | Accepting new patients | |
| Sansum Clinic | Current | Accepting new patients | |
| Sansum Clinic | Current | Accepting new patients |
Locations
215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765
317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500
122 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-1733
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1154354504
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1144648015
-
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1932121514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1962595561",
"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": "93160",
"telephone_number": "805-681-1761",
"fax_number": "805-681-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S PATTERSON AVE",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931112005",
"telephone_number": "805-898-3311",
"fax_number": "805-964-9645"
}
],
"practiceLocations": [
{
"address_1": "317 W. Pueblo St.",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "93105",
"country_code": "US",
"telephone_number": "805-681-1761",
"fax_number": "805-681-1768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSICANT",
"first_name": "MARK",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CA",
"license": "G29849",
"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 Feb 1, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.