Individual provider Active NPI

Daniel N. Ovadia, M.D.

  • Specialist
  • Santa Barbara, CA
National Provider Identifier
1063620573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G54940 Issued in CA
Practice address
2040 Alameda Padre Serra Ste 109
Santa Barbara, CA 93103-1760
Phone
(805) 965-2336
Fax
(805) 965-2666
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G54940 CA Primary

Addresses

Primary practice location

2040 Alameda Padre Serra Ste 109
Santa Barbara, CA 93103-1760

Mailing address

2040 Alameda Padre Serra
Suite 109
Santa Barbara, CA 93103
Phone (805) 965-2336

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G54940CAMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063620573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 ALAMEDA PADRE SERRA",
            "address_2": "SUITE 109",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93103",
            "telephone_number": "805-965-2336",
            "fax_number": "805-965-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 ALAMEDA PADRE SERRA STE 109",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931031760",
            "telephone_number": "805-965-2336",
            "fax_number": "805-965-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVADIA",
        "first_name": "DANIEL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G54940",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.