Organization Active NPI

Santa Barbara ENT

  • Otolaryngology Physician
  • Santa Barbara, CA
National Provider Identifier
1114395472
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A102609 Issued in CA
Legal business name
SANTA BARBARA ENT
Practice address
2420 Castillo St
Suite 100
Santa Barbara, CA 93105-4346
Phone
(805) 563-1999
Fax
(805) 563-4999
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Rebecca D Golgert, M.D.NPI 1609823210
Title
MD
Phone
(805) 563-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X A102609 CA Primary

Addresses

Primary practice location

2420 Castillo St
Suite 100
Santa Barbara, CA 93105-4346

Mailing address

2420 Castillo Street
Suite 100
Santa Barbara, CA 93105-5307
Phone (805) 563-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151007003430 CA Part B Supplier - Clinic/Group Practice 6507174760 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1114395472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 CASTILLO STREET",
            "address_2": "SUITE 100",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055307",
            "telephone_number": "805-563-1999",
            "fax_number": "805-563-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 CASTILLO ST",
            "address_2": "SUITE 100",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054346",
            "telephone_number": "805-563-1999",
            "fax_number": "805-563-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "GOLGERT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "805-563-1999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A102609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.