Active NPI
Drew G. Kelts, M.D.
- Pediatric Gastroenterology Physician
- Goleta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- G40720
- Practice address
- 5333 Hollister Ave Ste 250
Goleta, CA 93111 - Phone
- (805) 879-4242
- Fax
- (805) 879-4268
- NPI assigned
- May 28, 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | G40720 | CA | Primary |
Addresses
Primary practice location
5333 Hollister Ave Ste 250
Goleta, CA 93111
Mailing address
PO Box 50706
Santa Barbara, CA 93150-0706
Phone (805) 963-3757
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottage Clinical Associates | Current | Accepting new patients | |
| Cottage Medical Foundation | Current | Accepting new patients | |
| Sansum Clinic | Past | Accepting new patients | |
| Pediatric Subspecialty Network Inc. | Past | Accepting new patients |
Locations
2 James Way
Ste 112
Pismo Beach, CA 93449
Phone (805) 556-3037
5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240
5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272
400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279
2329 Oak Park Ln
Santa Barbara, CA 93105
Phone (805) 569-7876
4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1235790544
-
- Clinic/Center
- Santa Barbara, CA
- NPI 1770352130
-
- Pediatric Surgery Physician
- Santa Barbara, CA
- NPI 1417175423
-
- 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": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1104873603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50706",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931500706",
"telephone_number": "805-963-3757",
"fax_number": "805-564-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 HOLLISTER AVE STE 250",
"city": "GOLETA",
"state": "CA",
"postal_code": "93111",
"telephone_number": "805-879-4242",
"fax_number": "805-879-4268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELTS",
"first_name": "DREW",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "G40720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.