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CARRILLO SURGERY CENTER NPI 1295891836


NPI Information

NPI: 1295891836
Provider Name: CARRILLO SURGERY CENTER
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 05D1055139

Address:
401 E CARRILLO ST
SANTA BARBARA, CA
ZIP 93101
Phone: (805) 563-3307
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CARRILLO SURGERY CENTER is an orthopaedic surgery in Santa Barbara, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CARRILLO SURGERY CENTER NPI is 1295891836. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 E CARRILLO ST
SANTA BARBARA, CA
ZIP 93101-460
Phone: (805) 563-3307
Fax: (805) 563-3827

The provider's authorized official is Alan P Moelleken .
The authorized official title is M.d. and has the following contact phone number (805) 563-3307.

The CLIA number assigned to this NPI record is 05D1055139 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryG68712CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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