Individual provider Active NPI

Kim Phuong Lucy Nguyen-Casey, PA-C

  • Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1093045833
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21330 Issued in CA
Practice address
504 W Pueblo St
Suite 202
Santa Barbara, CA 93105-6211
Phone
(805) 682-6455
Fax
(805) 687-1482
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21330 CA Primary

Addresses

Primary practice location

504 W Pueblo St
Suite 202
Santa Barbara, CA 93105-6211

Mailing address

2921 De la Vina St
Santa Barbara, CA 93105-3309
Phone (408) 603-3156

Other names 1

  • Mrs. Lucy Nguyen-Casey Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000175 CA Practitioner - Physician Assistant 6800062993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roberta D Sengelmann MD IncGroup PAC ID 9931372133, 6 clinicians

Practice addresses (Care Compare)

2921 De la Vina St
Santa Barbara, CA 93105-3309
Phone (805) 770-3999

Merit-based Incentive Payment System (MIPS)

Final score
77.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
25.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21330CAMDPhysician Assistant
21330CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lcasey@sbskin.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1093045833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053309",
            "telephone_number": "408-603-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W PUEBLO ST",
            "address_2": "SUITE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056211",
            "telephone_number": "805-682-6455",
            "fax_number": "805-687-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-CASEY",
        "first_name": "KIM PHUONG",
        "middle_name": "LUCY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "NGUYEN-CASEY",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.