| Cottage Medical Group | |
|
400 W Pueblo St Santa Barbara CA 93105-4353 | |
| (805) 682-7111 | |
| Not Available |
| Full Name | Cottage Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 W Pueblo St, Santa Barbara, California |
| Authorized Official Name and Position | Kristin Tufvesson (SR VICE PRESIDENT & CFO) |
| Authorized Official Contact | 8058798941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottage Medical Group Po Box 689 Santa Barbara CA 93102-0689 Ph: (805) 682-7111 | Cottage Medical Group 400 W Pueblo St Santa Barbara CA 93105-4353 Ph: (805) 682-7111 |
| NPI Number | 1770352130 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 0547600512 |
|---|---|
| Medicare Enrollment ID | O20250728001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770352130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Wendy S Brunet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386889624 PECOS PAC ID: 4486549086 Enrollment ID: I20040220000677 |
| Provider Name | Anne Therese Rodriguez |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316929565 PECOS PAC ID: 9537055298 Enrollment ID: I20040227000620 |
| Provider Name | Richard Y Chung |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194792317 PECOS PAC ID: 6406847763 Enrollment ID: I20040524001183 |
| Provider Name | Julie a Chacko |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225020571 PECOS PAC ID: 7315917630 Enrollment ID: I20040726001266 |
| Provider Name | Joseph R Aragon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023122587 PECOS PAC ID: 8729053244 Enrollment ID: I20040828000258 |
| Provider Name | David S Thoman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407847684 PECOS PAC ID: 6406822436 Enrollment ID: I20040909001081 |
| Provider Name | Jeffrey R Frazer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144378852 PECOS PAC ID: 2163490434 Enrollment ID: I20040923000929 |
| Provider Name | Lori W Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639162506 PECOS PAC ID: 8729046370 Enrollment ID: I20041229000213 |
| Provider Name | Helen E Matthews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013015627 PECOS PAC ID: 1153377502 Enrollment ID: I20050329000529 |
| Provider Name | Timothy M Spiegel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700870243 PECOS PAC ID: 6901853621 Enrollment ID: I20050405000978 |
| Provider Name | Rosa Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376650713 PECOS PAC ID: 9931149275 Enrollment ID: I20050505001214 |
| Provider Name | Christophe C Le Renard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538103742 PECOS PAC ID: 0749218170 Enrollment ID: I20050727001088 |
| Provider Name | Jason E Boyatt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265547624 PECOS PAC ID: 6507895307 Enrollment ID: I20050811000703 |
| Provider Name | Joel D Barron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780644682 PECOS PAC ID: 7517974090 Enrollment ID: I20060308000163 |
| Provider Name | Stephanie J Cropper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366547192 PECOS PAC ID: 6507864246 Enrollment ID: I20061113000564 |
| Provider Name | Matthew K Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942395157 PECOS PAC ID: 1153322458 Enrollment ID: I20070130000294 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205948288 PECOS PAC ID: 5799787966 Enrollment ID: I20070201000337 |
| Provider Name | Thomas a Bosma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255434544 PECOS PAC ID: 5092811430 Enrollment ID: I20070502000184 |
| Provider Name | Dominic J Tedesco |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942300330 PECOS PAC ID: 7719083831 Enrollment ID: I20070507000674 |
| Provider Name | Farida Bounoua |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992925564 PECOS PAC ID: 5597850529 Enrollment ID: I20071004000759 |
| Provider Name | Dana E Huskey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538146337 PECOS PAC ID: 4284723107 Enrollment ID: I20071129000756 |
| Provider Name | Pablo G Rojas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811172067 PECOS PAC ID: 9931285756 Enrollment ID: I20080319000402 |
| Provider Name | Drew G Kelts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104873603 PECOS PAC ID: 0143399725 Enrollment ID: I20080522000210 |
| Provider Name | Jane C Varner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720015753 PECOS PAC ID: 2365516366 Enrollment ID: I20080809000111 |
| Provider Name | David R Quincy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669409728 PECOS PAC ID: 8628159860 Enrollment ID: I20080811000780 |
| Provider Name | Michael Mourad Shenoda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801096482 PECOS PAC ID: 1355409772 Enrollment ID: I20081028000845 |
| Provider Name | Kyle Lemon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891897765 PECOS PAC ID: 6709945553 Enrollment ID: I20081107000386 |
| Provider Name | David a Barsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831236520 PECOS PAC ID: 2365413499 Enrollment ID: I20090402000313 |
| Provider Name | Janina M Meissner-frisk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023050796 PECOS PAC ID: 8527023555 Enrollment ID: I20091204000151 |
| Provider Name | Muhammad S Haq |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710126388 PECOS PAC ID: 7618011362 Enrollment ID: I20100218000136 |
| Provider Name | Roger I Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154424240 PECOS PAC ID: 1759426950 Enrollment ID: I20100422000757 |
| Provider Name | Stephen P Carter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780739144 PECOS PAC ID: 8729116504 Enrollment ID: I20100514000900 |
| Provider Name | Joseph V Dicarlo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669547501 PECOS PAC ID: 2860597762 Enrollment ID: I20100615000093 |
| Provider Name | Barry Statner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740378728 PECOS PAC ID: 3173704558 Enrollment ID: I20110217000532 |
| Provider Name | N Nicole Moayeri |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255419818 PECOS PAC ID: 4981885225 Enrollment ID: I20110221000443 |
| Provider Name | Miriam F Parsa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275726176 PECOS PAC ID: 7416133095 Enrollment ID: I20110516000690 |
| Provider Name | Andrea Tackett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215138789 PECOS PAC ID: 9931377827 Enrollment ID: I20110720000270 |
| Provider Name | Andranik Madikians |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891708368 PECOS PAC ID: 6406027606 Enrollment ID: I20110920000479 |
| Provider Name | Karen B Song |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356632947 PECOS PAC ID: 0042482309 Enrollment ID: I20111010000124 |
| Provider Name | Cimberly L Penick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881987162 PECOS PAC ID: 5698947638 Enrollment ID: I20111017000384 |
| Provider Name | Daniel N Berger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669407680 PECOS PAC ID: 4486821832 Enrollment ID: I20120125000629 |
| Provider Name | Katherine Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255591913 PECOS PAC ID: 1153586110 Enrollment ID: I20120626000369 |
| Provider Name | David Cevallos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871827766 PECOS PAC ID: 6800052879 Enrollment ID: I20120718000707 |
| Provider Name | Samer S. Othman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437476439 PECOS PAC ID: 5092954248 Enrollment ID: I20130618000859 |
| Provider Name | Shivani Upadhyay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073788360 PECOS PAC ID: 7517108608 Enrollment ID: I20130801000493 |
| Provider Name | Brandon J Boesch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457663221 PECOS PAC ID: 9931341450 Enrollment ID: I20130813000808 |
| Provider Name | Chee Yuan NG |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780816660 PECOS PAC ID: 5698902690 Enrollment ID: I20131219000914 |
| Provider Name | Tamara N Taketani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669642385 PECOS PAC ID: 5294963161 Enrollment ID: I20140123000169 |
| Provider Name | Sunita Moola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770770695 PECOS PAC ID: 8527148626 Enrollment ID: I20140602000707 |
| Provider Name | Kaitlyn M Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720378748 PECOS PAC ID: 1052542669 Enrollment ID: I20140623002815 |
| Provider Name | Charles a Newcomer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417248428 PECOS PAC ID: 7214152131 Enrollment ID: I20140710000001 |
| Provider Name | Zadok Jacob Sacks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649439514 PECOS PAC ID: 0446406813 Enrollment ID: I20140818001523 |
| Provider Name | Vu Trieu Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467711614 PECOS PAC ID: 5496071979 Enrollment ID: I20150227000071 |
| Provider Name | Anh T Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043328933 PECOS PAC ID: 7618053315 Enrollment ID: I20150603001681 |
| Provider Name | Zohreh Kousha Shoar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275855728 PECOS PAC ID: 2466764550 Enrollment ID: I20150701002741 |
| Provider Name | Brian Walcott |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093975500 PECOS PAC ID: 7416115118 Enrollment ID: I20150720000924 |
| Provider Name | Kara Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952558850 PECOS PAC ID: 2163582768 Enrollment ID: I20150908000000 |
| Provider Name | Lauren Elizabeth Jordan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275829087 PECOS PAC ID: 1850609678 Enrollment ID: I20150928002979 |
| Provider Name | Heather R Merrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528157138 PECOS PAC ID: 0840196911 Enrollment ID: I20151009001155 |
| Provider Name | Joanna L Gibbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235457466 PECOS PAC ID: 1153451109 Enrollment ID: I20151111001155 |
| Provider Name | Si Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467794180 PECOS PAC ID: 8022317270 Enrollment ID: I20160422000700 |
| Provider Name | Amanda Edmonson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861851396 PECOS PAC ID: 4688964935 Enrollment ID: I20160527001619 |
| Provider Name | Judith Burichin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336145739 PECOS PAC ID: 9537324660 Enrollment ID: I20160720002104 |
| Provider Name | Serene M Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841555109 PECOS PAC ID: 2668769860 Enrollment ID: I20160930001321 |
| Provider Name | Edward Daniel Talya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659687994 PECOS PAC ID: 3870881774 Enrollment ID: I20161010000554 |
| Provider Name | Rebecca L Holt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396037412 PECOS PAC ID: 8628345360 Enrollment ID: I20170530001758 |
| Provider Name | Michael Galen Gibbs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063704641 PECOS PAC ID: 5698043925 Enrollment ID: I20170609001508 |
| Provider Name | Amir-mohammad Jalilian-nosraty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407091010 PECOS PAC ID: 5496994824 Enrollment ID: I20170830001377 |
| Provider Name | Lexine L Yurcho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740572908 PECOS PAC ID: 1153619507 Enrollment ID: I20170830003947 |
| Provider Name | Yelena Gimelberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871014621 PECOS PAC ID: 6103191192 Enrollment ID: I20170929003474 |
| Provider Name | Pierre-alain Hueber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932626074 PECOS PAC ID: 2264707769 Enrollment ID: I20171010001382 |
| Provider Name | Natalie Daoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437579257 PECOS PAC ID: 1153645569 Enrollment ID: I20171116002371 |
| Provider Name | Antonia Ana Vindler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326306242 PECOS PAC ID: 4284906884 Enrollment ID: I20180112000832 |
| Provider Name | Peter L Baay |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1043296676 PECOS PAC ID: 5092736009 Enrollment ID: I20180123002080 |
| Provider Name | Burgundy Rose Tyrrel Signorini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699177733 PECOS PAC ID: 4183984610 Enrollment ID: I20180201001451 |
| Provider Name | Alexandra P Eidelwein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649265968 PECOS PAC ID: 1850559196 Enrollment ID: I20180315002301 |
| Provider Name | Lisa R Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376937367 PECOS PAC ID: 7810251303 Enrollment ID: I20180509001808 |
| Provider Name | Joseph Charles Collins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053723064 PECOS PAC ID: 3274888474 Enrollment ID: I20180612000321 |
| Provider Name | Ryan Michael Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619364700 PECOS PAC ID: 2163779372 Enrollment ID: I20180719000692 |
| Provider Name | Casey N Rives |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720213382 PECOS PAC ID: 5597991927 Enrollment ID: I20181120002752 |
| Provider Name | Holly Elizabeth Romine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619524626 PECOS PAC ID: 4284966714 Enrollment ID: I20191101000673 |
| Provider Name | Bina Aftab Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598821803 PECOS PAC ID: 0143111831 Enrollment ID: I20191104002468 |
| Provider Name | Brittany L Gray |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194112789 PECOS PAC ID: 9436480340 Enrollment ID: I20200512000523 |
| Provider Name | Jenna E Holmen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003230814 PECOS PAC ID: 5597073908 Enrollment ID: I20200616002508 |
| Provider Name | Danielle N Wiley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598190365 PECOS PAC ID: 0345470464 Enrollment ID: I20200618003043 |
| Provider Name | Eric J Grossman |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1356646590 PECOS PAC ID: 7911127543 Enrollment ID: I20200629001774 |
| Provider Name | Deana M Rhinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497270201 PECOS PAC ID: 9537426499 Enrollment ID: I20210127001824 |
| Provider Name | Kathryn Lynn Brewer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528042470 PECOS PAC ID: 3971584624 Enrollment ID: I20210208002254 |
| Provider Name | Kristin Cara Dehahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295325819 PECOS PAC ID: 7315352390 Enrollment ID: I20210225001179 |
| Provider Name | Laura Ann Cieslik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417147620 PECOS PAC ID: 5698947810 Enrollment ID: I20210226001881 |
| Provider Name | Erika Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881609337 PECOS PAC ID: 8527048974 Enrollment ID: I20210423000433 |
| Provider Name | Alexander Blake Hardwick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780050385 PECOS PAC ID: 0143568774 Enrollment ID: I20210526000005 |
| Provider Name | Gautam Nagendra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265827802 PECOS PAC ID: 3173923463 Enrollment ID: I20210608001217 |
| Provider Name | Stephanie J Handler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568812360 PECOS PAC ID: 7719238955 Enrollment ID: I20210923003334 |
| Provider Name | Casey L Whipple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720584253 PECOS PAC ID: 7416203567 Enrollment ID: I20210930001513 |
| Provider Name | Robert Kanard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073777934 PECOS PAC ID: 6204950355 Enrollment ID: I20211209001628 |
| Provider Name | Michelle Marie Pursley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851947147 PECOS PAC ID: 9436541950 Enrollment ID: I20220113000796 |
| Provider Name | Natalie Gray Kornbluth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902435431 PECOS PAC ID: 8729471347 Enrollment ID: I20220203000695 |
| Provider Name | Taylor Austin Mcconnaughy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184111734 PECOS PAC ID: 9739588245 Enrollment ID: I20220602002280 |
| Provider Name | Mellad Michael Khoshnood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497258073 PECOS PAC ID: 0648659391 Enrollment ID: I20220627001063 |
| Provider Name | Noah Rey Alparce Guinto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720710163 PECOS PAC ID: 6507248747 Enrollment ID: I20220803003751 |
| Provider Name | Nandini R Nittur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013406859 PECOS PAC ID: 6305222829 Enrollment ID: I20221005003690 |
| Provider Name | Jeffrey David Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366734998 PECOS PAC ID: 5294044285 Enrollment ID: I20221028000804 |
| Provider Name | Rajeev Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255891149 PECOS PAC ID: 1052646361 Enrollment ID: I20221128001996 |
| Provider Name | Dustin Charles Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427452648 PECOS PAC ID: 3476877978 Enrollment ID: I20221223001258 |
| Provider Name | Maria Demma Iligan Cabral |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467683706 PECOS PAC ID: 7113230749 Enrollment ID: I20230216002512 |
| Provider Name | Catherine Ekwa-ekoko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477589794 PECOS PAC ID: 8123291275 Enrollment ID: I20230220001605 |
| Provider Name | Rebecca Anne Pifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639458680 PECOS PAC ID: 5991940330 Enrollment ID: I20230221002870 |
| Provider Name | Asneha Shireen Iqbal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336428820 PECOS PAC ID: 5395045470 Enrollment ID: I20230410000552 |
| Provider Name | Sheila Gillette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558684878 PECOS PAC ID: 9436283918 Enrollment ID: I20230411002525 |
| Provider Name | Laura Sices |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417974320 PECOS PAC ID: 7810970381 Enrollment ID: I20230426003198 |
| Provider Name | Jayson Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043849607 PECOS PAC ID: 2365807849 Enrollment ID: I20230505001917 |
| Provider Name | Christopher J Ferber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528421781 PECOS PAC ID: 5092043109 Enrollment ID: I20230526000524 |
| Provider Name | Arielle Simone Kanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588281158 PECOS PAC ID: 2567829971 Enrollment ID: I20230530002792 |
| Provider Name | Rachel E Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477057644 PECOS PAC ID: 4587057161 Enrollment ID: I20230630001331 |
| Provider Name | Prithvi Pande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134746670 PECOS PAC ID: 8224497243 Enrollment ID: I20230707002934 |
| Provider Name | Genevieve Holmes Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710340971 PECOS PAC ID: 4587901566 Enrollment ID: I20230711001857 |
| Provider Name | Yana Davidovna Gristan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023635562 PECOS PAC ID: 6507226628 Enrollment ID: I20230720000821 |
| Provider Name | Treavor Lewis Robison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861889537 PECOS PAC ID: 0143598482 Enrollment ID: I20230720003164 |
| Provider Name | Daniel John Crossman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114132842 PECOS PAC ID: 8628176245 Enrollment ID: I20230720003324 |
| Provider Name | Adrienne D Macdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780937409 PECOS PAC ID: 7810205945 Enrollment ID: I20230724002738 |
| Provider Name | Amelia a Castro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861877706 PECOS PAC ID: 7113297276 Enrollment ID: I20230727002076 |
| Provider Name | Michael John Paulsen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063832442 PECOS PAC ID: 6901268671 Enrollment ID: I20230811001011 |
| Provider Name | Lisa Ann Lepine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750342234 PECOS PAC ID: 0648201160 Enrollment ID: I20230816004403 |
| Provider Name | Luke Noronha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730139940 PECOS PAC ID: 2769451434 Enrollment ID: I20231016003267 |
| Provider Name | Sumit Tushar Mehta |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356790836 PECOS PAC ID: 5890143499 Enrollment ID: I20231120003073 |
| Provider Name | Ella M Stern Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184186108 PECOS PAC ID: 7315272861 Enrollment ID: I20231206003000 |
| Provider Name | Dena Kay Hubbard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407870454 PECOS PAC ID: 1355632373 Enrollment ID: I20240123004212 |
| Provider Name | Yesenia D Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144606625 PECOS PAC ID: 5890138234 Enrollment ID: I20240213001612 |
| Provider Name | Vanessa Danielle Abarca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952040859 PECOS PAC ID: 5799121729 Enrollment ID: I20240312002883 |
| Provider Name | Anne Martin Fredericks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649037029 PECOS PAC ID: 4981041845 Enrollment ID: I20240327001966 |
| Provider Name | Mary Elizabeth Claassen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881938892 PECOS PAC ID: 6204205933 Enrollment ID: I20240327003285 |
| Provider Name | Nicole Sheikholeslami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346820081 PECOS PAC ID: 4183167802 Enrollment ID: I20240621002091 |
| Provider Name | Nastassia C Sylvestre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649658659 PECOS PAC ID: 4082914825 Enrollment ID: I20240925001673 |
| Provider Name | Brett Robert Trzcinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952807513 PECOS PAC ID: 2264797760 Enrollment ID: I20240925002082 |
| Provider Name | Gabriela Hanson-lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104054717 PECOS PAC ID: 4880128230 Enrollment ID: I20241107004122 |
| Provider Name | Sydney Marie Striff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104451475 PECOS PAC ID: 4082029970 Enrollment ID: I20250102001526 |
| Provider Name | Elizabeth J Hutchins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457705378 PECOS PAC ID: 7416288782 Enrollment ID: I20250423003271 |
| Provider Name | Alexander Moxam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730534207 PECOS PAC ID: 0042725616 Enrollment ID: I20250714000906 |
| Provider Name | Ginearosa Franchesca Carbone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891432548 PECOS PAC ID: 0547775900 Enrollment ID: I20250715000568 |
| Provider Name | Courtney Stull |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376905836 PECOS PAC ID: 9335431113 Enrollment ID: I20250715004298 |
| Provider Name | Paloma Elizabeth Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366189011 PECOS PAC ID: 2769998582 Enrollment ID: I20250718003542 |
| Provider Name | Anusha Sabanayagam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780318626 PECOS PAC ID: 8224544820 Enrollment ID: I20250721003609 |
| Provider Name | Austin Taylor Moser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447997192 PECOS PAC ID: 9739696808 Enrollment ID: I20250724003769 |
| Provider Name | Catherine E Buell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699416230 PECOS PAC ID: 9436650900 Enrollment ID: I20250827004422 |
| Provider Name | Veronica Skital |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811636152 PECOS PAC ID: 8224540570 Enrollment ID: I20250918001069 |
| Provider Name | Jessica L Rosenblum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265828651 PECOS PAC ID: 3678817962 Enrollment ID: I20251113001785 |
| Provider Name | Amy Claire Gaultney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831585827 PECOS PAC ID: 6406348069 Enrollment ID: I20251121002642 |
| Provider Name | Douglas Ney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881748945 PECOS PAC ID: 2264586098 Enrollment ID: I20251211001238 |
| Provider Name | Arjun Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629455852 PECOS PAC ID: 0042524092 Enrollment ID: I20251211003475 |
| Provider Name | Clare Andreea Corbin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659972644 PECOS PAC ID: 4789170440 Enrollment ID: I20251231003396 |
| Provider Name | Ideen Tabatabai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871156471 PECOS PAC ID: 2466834965 Enrollment ID: I20260105003326 |
| Provider Name | Vejas a Skripkus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699936815 PECOS PAC ID: 9830489152 Enrollment ID: I20260129003540 |
| Provider Name | Henry James Behar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053553743 PECOS PAC ID: 9133446438 Enrollment ID: I20260309000980 |
| Provider Name | Carlin Paige Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780551036 PECOS PAC ID: 5395229470 Enrollment ID: I20260318000551 |
| Provider Name | Channing Greenburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134858038 PECOS PAC ID: 8123503760 Enrollment ID: I20260331004079 |
| Provider Name | Marie Christine Lucier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669314506 PECOS PAC ID: 0446728976 Enrollment ID: I20260504006159 |
| Provider Name | David Elias Philippides |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427677186 PECOS PAC ID: 5799139481 Enrollment ID: I20260506003953 |
Allen J Thomashefsky, MD, a Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Bath St Ste 301, Santa Barbara, CA 93105 Phone: 805-962-2662 Fax: 805-569-5670 |
Recovery Road Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 State Street, Santa Barbara, CA 93101 Phone: 805-962-7800 Fax: 805-962-9002 |
Conscious Psychiatry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5290 Overpass Rd Ste 128, Santa Barbara, CA 93111 Phone: 805-203-0049 |
Milpas Medical Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 N Milpas St, Santa Barbara, CA 93103 Phone: 805-965-8284 Fax: 805-962-0429 |
Jeffrey R. Polito M.D. a Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 334 S Patterson Ave, Santa Barbara, CA 93111 Phone: 805-681-1490 Fax: 805-681-1593 |
Gary M Van Deventer MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Pueblo St, Suite B, Santa Barbara, CA 93105 Phone: 805-563-0024 Fax: 805-563-1454 |