Active NPI
Barbara J Donnelly, M.D.
- Neonatal-Perinatal Medicine Physician
- Santa Barbara, CA
National Provider Identifier
1023176351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- G46791
- Practice address
- Pueblo at Bath Streets
Santa Barbara, CA 93102 - Phone
- (805) 569-7510
- Fax
- (949) 366-2390
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | G46791 | CA | Primary |
Addresses
Primary practice location
Pueblo at Bath Streets
Santa Barbara, CA 93102
Mailing address
PO Box 1359
San Clemente, CA 92674-1359
Phone (949) 492-3514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G467910 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G46791 | CA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottage Clinical Associates | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Sansum Clinic | Past | Accepting new patients |
Locations
5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cottage Children's Medical Group
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1235790544
Neonatal-Perinatal Medicine
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1649296807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023176351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926741359",
"telephone_number": "949-492-3514",
"fax_number": "949-366-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PUEBLO AT BATH STREETS",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93102",
"telephone_number": "805-569-7510",
"fax_number": "949-366-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "BARBARA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "G46791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G467910",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.