Individual provider Active NPI

Brian Desmond, M.D.

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1972591865
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A42662 Issued in CA
Practice address
220 S Palisade Dr
Suite 104
Santa Maria, CA 93454-8902
Phone
(805) 925-2521
Fax
(805) 925-8721
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A42662 CA Primary

Addresses

Primary practice location

220 S Palisade Dr
Suite 104
Santa Maria, CA 93454-8902

Mailing address

220 S Palisade Dr
Suite 104
Santa Maria, CA 93454-8902
Phone (805) 925-2521

Other identifiers 1

IdentifierTypeStateIssuer
00A426620OtherCABLUESHIELD

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
I20100126000240 CA Practitioner - Family Practice 5597705236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Coast Family Care Medical Associates IncGroup PAC ID 7719967801, 9 clinicians

Practice addresses (Care Compare)

220 S Palisade Dr
104B
Santa Maria, CA 93454-5931
Phone (805) 925-2521

Hospital & facility affiliations

  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions162
Removal or shaving of skin growth1-10
Skin biopsy44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42662CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Family Care Medical Associates, Inc. Family Medicine CurrentSince Feb 1, 1998 Accepting new patients
Central Coast Family Care Medical Associates, Inc Family Medicine Current Accepting new patients
Central Coast Family Care Medical Associates, Inc Family Medicine CurrentSince Feb 1, 1998 Accepting new patients

Locations

220 S Palisade Dr
Ste 104
Santa Maria, CA 93454
Phone (805) 737-5706

220 S Palisade Dr
Ste 104B
Santa Maria, CA 93454
Phone (805) 925-2521

821 E Chapel St
Ste 203
Santa Maria, CA 93454
Phone (805) 354-5200

1414 S Miller St
Ste D
Santa Maria, CA 93454
Phone (805) 720-1670

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 4

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1972591865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR",
            "address_2": "SUITE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548902",
            "telephone_number": "805-925-2521",
            "fax_number": "805-925-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PALISADE DR",
            "address_2": "SUITE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548902",
            "telephone_number": "805-925-2521",
            "fax_number": "805-925-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "00A426620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.