RESTORATIVE SPINE & JOINT
NPI 1053872713
General Practice in Santa Maria, CA

Active since March 26, 2019
3596 SKYWAY DR STE B, SANTA MARIA, CA 93455(805) 614-7820 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Restorative Spine & Joint NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORATIVE SPINE & JOINT (NPI 1053872713) is a healthcare organization registered as a general practice in Santa Maria, California and active in the NPI registry since March 2019. The organization lists Matthew Egbert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053872713
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameRESTORATIVE MEDICAL PC
Location Address3596 SKYWAY DR STE BSanta Maria, CA 93455-2514
Mailing Address3596 Skyway Dr Ste BSanta Maria, CA 93455-2514 · (805) 614-7820
Organization SubpartNo
Authorized OfficialMatthew EgbertCeo · (805) 614-7820
Enumeration DateMarch 26, 2019
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1053872713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3596 SKYWAY DR STE B, Santa Maria, CA 93455

Other Names 1

Doing Business AsRestorative Spine & Joint

Other Identifiers 1

Other1205806874CA · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restorative Spine & Joint is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20200410000178DME · Physician - Family PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Restorative Spine & Joint, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1134919038
355 DANIEL DR STE 105
Santa Maria, CA 93454
(805) 937-3368
✔ PECOS✔ Accepts Medicare2.0 mi
Chiropractic
NPI 1205806874
1767 S BROADWAY
Santa Maria, CA 93454
(805) 614-7820
✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1811558042
400 W PUEBLO ST
Santa Barbara, CA 93105
(805) 682-7111
✔ PECOS✔ Accepts Medicare52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Restorative Medical PC's NPI number?

The NPI number for Restorative Medical PC is 1053872713. It was assigned to this organization in the NPPES registry on March 26, 2019. The provider is doing business as Restorative Spine & Joint.

Where is Restorative Medical PC located?

Restorative Medical PC is located at 3596 Skyway Dr Ste B, Santa Maria, CA 93455. The listed phone number is (805) 614-7820.

What is Restorative Medical PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Restorative Medical PC enrolled in Medicare?

Yes. Restorative Medical PC is registered in the Medicare PECOS enrollment system.

When is Restorative Medical PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Family Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Restorative Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Restorative Medical PC, in Chiropractic and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Restorative Medical PC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.