Individual provider Active NPI

Wendy Santizo, O.D.

  • Optometrist
  • Santa Barbara, CA
National Provider Identifier
1104999523
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8319T Issued in CA
Practice address
1629 State St
Suite 1
Santa Barbara, CA 93101-2548
Phone
(805) 569-2318
Fax
(805) 569-0230
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8319T CA Primary

Addresses

Primary practice location

1629 State St
Suite 1
Santa Barbara, CA 93101-2548

Mailing address

893 Cheltenham Rd
Santa Barbara, CA 93105-2232
Phone (805) 682-8438

Other identifiers 2

IdentifierTypeStateIssuer
OPT 8319OtherCAOPTOMETRY LICENSE
418-8912-2OtherCAEDD

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000150 CA Practitioner - Optometry 0547420556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wendy L. Santizo, a Prof. Corp.Group PAC ID 0749236099, 3 clinicians

Practice addresses (Care Compare)

1629 State St
Suite 1
Santa Barbara, CA 93101-2548
Phone (805) 569-2318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8319TCAMDOptometrist
8319CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy L. Santizo, a Prof. Corp. Optometrist CurrentSince Jan 2, 1996 Accepting new patients

Locations

1629 State St
Ste 1
Santa Barbara, CA 93101
Phone (805) 451-6580

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1104999523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 CHELTENHAM RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052232",
            "telephone_number": "805-682-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 STATE ST",
            "address_2": "SUITE 1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012548",
            "telephone_number": "805-569-2318",
            "fax_number": "805-569-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIZO",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8319T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "OPT 8319",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDD",
            "identifier": "418-8912-2",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.