| Spine And Orthopedic Center | |
|
401 E Carrillo St Santa Barbara CA 93101-1460 | |
| (805) 563-3307 | |
| (805) 563-3827 |
| Full Name | Spine And Orthopedic Center |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 401 E Carrillo St, Santa Barbara, California |
| Authorized Official Name and Position | Alan P Moelleken (M.D.) |
| Authorized Official Contact | 8055633307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine And Orthopedic Center Po Box 3559 San Luis Obispo CA 93403-3559 Ph: (805) 786-4879 | Spine And Orthopedic Center 401 E Carrillo St Santa Barbara CA 93101-1460 Ph: (805) 563-3307 |
| NPI Number | 1629198742 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 03/27/2012 |
| Medicare PECOS PAC ID | 7315835238 |
|---|---|
| Medicare Enrollment ID | O20040310000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629198742 | NPI | - | NPPES |
| Provider Name | Alan P Moelleken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649292673 PECOS PAC ID: 1658269576 Enrollment ID: I20040311001142 |
| Provider Name | Benjamin N Dirkx |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1679875389 PECOS PAC ID: 4688893621 Enrollment ID: I20140924000623 |
| Provider Name | Tristan Zhang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427318054 PECOS PAC ID: 9234459421 Enrollment ID: I20190621002011 |
| Provider Name | Richard Jason Hartman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952533820 PECOS PAC ID: 8527114370 Enrollment ID: I20191206002527 |
| Provider Name | Daniel Adel Rafie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487131884 PECOS PAC ID: 3072933514 Enrollment ID: I20210202001163 |
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Jeffrey R. Polito M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 334 S Patterson Ave, Santa Barbara, CA 93111 Phone: 805-681-1490 Fax: 805-681-1593 | |
Gary M Van Deventer Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Pueblo St, Suite B, Santa Barbara, CA 93105 Phone: 805-563-0024 Fax: 805-563-1454 | |
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