Urology Specialists of Santa Barbara Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGY SPECIALISTS OF SANTA BARBARA INC

Practice address

5333 Hollister Ave Ste 275
Santa Barbara, CA 93111-2472

Phone

(805) 687-7719

Fax

(805) 682-2971

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Julie A Chacko, MDNPI 1225020571

Title

President

Phone

(805) 687-7719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie A Chacko, MD

  • Urology Physician
  • Santa Barbara, CA
  • NPI 1225020571
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas A Bosma, PA-C

  • Medical Physician Assistant
  • Santa Barbara, CA
  • NPI 1255434544
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1073087532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931161206",
            "telephone_number": "805-465-7948",
            "fax_number": "805-683-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE STE 275",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112472",
            "telephone_number": "805-687-7719",
            "fax_number": "805-682-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALISTS OF SANTA BARBARA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-687-7719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lauren Urena
• Melisa Agnes Uribe Sanchez
• Bonny Helen Uribe
• Genevieve Carmela Uribe
• Urology Specialists of Santa Barbara
• Robert Ravelli Urquhart, M.D.
• Edwin Urrutia
• Niel Uy
• Jon Uyesaka, MD
• Dayna Vainstein, LMFT

• Urology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.