Active NPI
Gary E Bilodeau, PA-C
- Physician Assistant
- Santa Barbara, CA
National Provider Identifier
1063447704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60088
- Practice address
- 400 W Pueblo St
Santa Barbara, CA 93105-4353 - Phone
- (805) 682-7111
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- 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 | 60088 | CA | Primary |
Addresses
Primary practice location
400 W Pueblo St
Santa Barbara, CA 93105-4353
Mailing address
400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone (805) 682-7111
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1846 N Broadway
Suite a
Santa Maria, CA 93454-1447
Phone (805) 361-4279
3885 State St
Suite a
Santa Barbara, CA 93105-5645
Phone (805) 569-7351
5652 Calle Real
Goleta, CA 93117-2317
Phone (805) 879-4239
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60088 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Associates, LTD., P.S. | Past | Accepting new patients | |
| Washington Orthopaedic Center, Inc, PS | Past | Accepting new patients | |
| Lewis County Emergency Physicians | Past | Accepting new patients | |
| Scheuber Road Emergency Physicians | Physician Assistant | Past | Accepting new patients |
| Cottage Medical Associates | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Santa Barbara, CA
- NPI 1588209357
-
- Internal Medicine Physician
- Santa Barbara, CA
- NPI 1972669562
-
- Emergency Medicine Physician
- Centralia, WA
- NPI 1174555684
-
- Emergency Medicine Physician
- Centralia, WA
- NPI 1851679856
Physician Assistant
-
- Urology Physician
- Olympia, WA
- NPI 1699701292
-
- Ambulatory Surgical Clinic/Center
- Centralia, WA
- NPI 1134218167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1063447704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W PUEBLO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054353",
"telephone_number": "805-682-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W PUEBLO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054353",
"telephone_number": "805-682-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILODEAU",
"first_name": "GARY",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "60088",
"primary": true
}
],
"identifiers": [],
"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 May 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.