Individual provider Active NPI

Matthew James Ebling, P.A-C

  • Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1962712240
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21270 Issued in CA
Practice address
401 East Carrillo Street
Santa Barbara, CA 93101
Phone
(805) 563-3307
Fax
(805) 563-0998
NPI assigned
Oct 20, 2010
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21270 CA Primary

Addresses

Primary practice location

401 East Carrillo Street
Santa Barbara, CA 93101

Mailing address

PO Box 3880
Santa Barbara, CA 93130-3880
Phone (805) 563-0363

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000610 CA Practitioner - Physician Assistant 1052508728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hullander and Mozingo LPGroup PAC ID 3971543752, 9 clinicians

Practice addresses (Care Compare)

1551 Bishop St
Suite 210
San Luis Obispo, CA 93401-4661
Phone (805) 329-6262

222 W Pueblo St
Santa Barbara, CA 93105-3805
Phone (805) 563-0363

525 Plaza Dr
Suite 204
Santa Maria, CA 93454-6954
Phone (805) 563-0363

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21270CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hullander and Mozingo LP CurrentSince Apr 9, 2014 Accepting new patients
Sansum Clinic CurrentSince Jul 1, 2015 Accepting new patients
Hullander and Mozingo LP CurrentSince Apr 9, 2014 Accepting new patients
Sansum Clinic Past Accepting new patients
Keith Mark Gross MD Inc Past Accepting new patients

Locations

8844 Morro Rd
Atascadero, CA 93422
Phone (805) 329-6262

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

222 W Pueblo St
Ste B
Santa Barbara, CA 93105

3045 De la Vina St
Santa Barbara, CA 93105
Phone (805) 569-3226

536 E Arrellaga St
Ste 104
Santa Barbara, CA 93103
Phone 80556303631511

1551 Bishop St
Ste 220
Sn Luis Obisp, CA 93401
Phone (805) 541-0668

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: matthew.ebling.1@22602.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1962712240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3880",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931303880",
            "telephone_number": "805-563-0363",
            "fax_number": "805-563-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EAST CARRILLO STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLING",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.