Donna K. Fagan, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA20881 Issued in CA

Practice address

317 W Pueblo St
Santa Barbara, CA 93105-4310

Phone

(805) 681-1761

Fax

(805) 681-1768

NPI assigned

Mar 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• The Heart Center of Eastern Carolina

  • Cardiovascular Disease Physician
  • New Bern, NC
  • NPI 1609893593
  NPD (past)

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1114241106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62106",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931602106",
            "telephone_number": "805-681-1761",
            "fax_number": "805-681-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054310",
            "telephone_number": "805-681-1761",
            "fax_number": "805-681-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "DONNA",
        "middle_name": "K.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye and Vision Care Optometric Group (Eye & Vision Care of Santa Barbara)
• Eye Surgical Medical Group of Santa Barbara Inc. (William H. Coulter, M.D.)
• Eye Surgical Medical Group of Santa Barbara, Inc.
• Juliana Mott Fabio
• Jan Scott Fadden, L.AC.
• Elizabeth Ciuffini Fairfield, RD
• Edward Fales, LMFT, APCC
• Erika Therese Fales, AMFT, APCC
• Jami Lynn Faletti, LMFT
• Brian Daniel Falk, L.AC. MTCM

• Medical Physician Assistant in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.