| David Matthew Carlson, MD | |
|
300 W Pueblo St, Santa Barbara, CA 93105-4311 | |
| (805) 563-5870 | |
| (805) 898-3616 |
| Full Name | David Matthew Carlson |
|---|---|
| Gender | Male |
| Speciality | Nuclear Medicine |
| Experience | 20 Years |
| Location | 300 W Pueblo St, Santa Barbara, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902133465 | NPI | - | NPPES |
| 00A1030620 | Other | CA | BC/BS OF CA |
| 1902133465 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207U00000X | Nuclear Medicine | A103062 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Barbara Cottage Hospital | Santa barbara, CA | Hospital |
| St Johns Regional Medical Center | Oxnard, CA | Hospital |
| Community Memorial Hospital - Ventura | Ventura, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Managed Imaging Medical Group Inc | 9436229887 | 76 |
| Sansum Clinic | 3678471976 | 320 |
| Entity Name | University of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | Sansum Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154354504 PECOS PAC ID: 3678471976 Enrollment ID: O20031223000607 |
| Entity Name | UCSF Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Entity Name | California Managed Imaging Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20080528000575 |
| Mailing Address | Practice Location Address |
|---|---|
| David Matthew Carlson, MD Po Box 62106, Santa Barbara, CA 93160-2106 Ph: (805) 563-5870 | David Matthew Carlson, MD 300 W Pueblo St, Santa Barbara, CA 93105-4311 Ph: (805) 563-5870 |