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Dominic J Tedesco MD INC.

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Santa Barbara, CA. Organization (NPI-2).

NPI number1699236752
StatusActive
Last updated in NPPESMar 29, 2019

Details

NPI
1699236752
Entity type
Organization (NPI-2)
Legal business name
Dominic J Tedesco MD INC.
Organization subpart
No
Enumeration date
Mar 29, 2019
Last updated
Mar 29, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––Yes

Practice location

2400 Bath St Ste 102
Santa Barbara, CA 93105-4351

Phone 805-324-9144 · Fax 805-324-9143

Mailing address

2400 Bath St Ste 102
Santa Barbara, CA 93105-4351

Phone 805-324-9144 · Fax 805-324-9143

Authorized official

Dominic J. Tedesco
Owner
8053404861

Is something wrong?

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Other Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Santa Barbara, CA

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