Active NPI
Huntington Segerstrom, PA-C
- Physician Assistant
- Santa Barbara, CA
National Provider Identifier
1013014448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15208
- Practice address
- 721 Cliff Dr
Santa Barbara, CA 93109-2312 - Phone
- (530) 575-7946
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15208 | CA | Primary |
Addresses
Primary practice location
721 Cliff Dr
Santa Barbara, CA 93109-2312
Mailing address
PO Box 50648
Santa Barbara, CA 93150-0648
Phone (530) 575-7946
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15208 | Other | CA | PA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1013014448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50648",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931500648",
"telephone_number": "530-575-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 CLIFF DR",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931092312",
"telephone_number": "530-575-7946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGERSTROM",
"first_name": "HUNTINGTON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "15208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "15208",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.