Miguel Loya, D.O.
NPI 1619281532ActiveIndividual· Internal Medicine· Solvang, CA
Internal Medicine (D.O.) with Sansum Clinic, practicing in Solvang, California. Their prescriptions cost Medicare Part D more than their services did: $704,344 for 7,412 claims, against $154,704 paid for services in 2024. Lists Goleta Valley Cottage Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1619281532 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Aug 3, 2010 |
| Last updated in NPPES | Sep 30, 2026 |
| Certified by provider | Sep 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 20A12324 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 479 |
|---|---|
| Services billed | 6,453 across 52 procedure codes |
| Paid by Medicare | $154,704 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,412 · 15,763 30-day fills |
|---|---|
| Patients | 779 |
| Total drug cost | $704,344 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Sansum ClinicSanta Barbara, CA · 320 clinicians
Hospital affiliations
- Goleta Valley Cottage HospitalSanta Barbara, CA
- Lompoc Valley Medical CenterLompoc, CA
- Marian Regional Medical CenterSanta Maria, CA
- Santa Barbara Cottage HospitalSanta Barbara, CA
- Santa Ynez Valley Cottage HospitalSolvang, CA
Other facilities
- Assisted Home HealthHome health agency · Santa Barbara, CA
- Central Coast Home Health IncHome health agency · San Luis Obispo, CA
- Vna HealthHome health agency · Santa Barbara, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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