Individual provider Active NPI

Drew G. Kelts, M.D.

  • Pediatric Gastroenterology Physician
  • Goleta, CA
National Provider Identifier
1104873603
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
G40720 Issued in CA
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

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000210 CA Practitioner - GastroenterologyPractitioner - Pediatric Medicine 0143399725 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Clinical Associates CurrentSince Feb 1, 2023 Accepting new patients
Cottage Medical Foundation CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.