Individual provider Active NPI

Rebecca Leigh Glusac, PA-C

  • Surgical Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1134436777
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA21078 Issued in CA
Practice address
511 Bath St
Santa Barbara, CA 93101-3403
Phone
(805) 963-9377
Fax
(805) 962-2154
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA21078 CA Primary

Addresses

Primary practice location

511 Bath St
Santa Barbara, CA 93101-3403

Mailing address

511 Bath St
Santa Barbara, CA 93101-3403
Phone (805) 963-9377

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206000186 CA Practitioner - Physician Assistant 6204023153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians
Alta Orthopaedic Medical Group IncGroup PAC ID 7315837788, 22 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

511 Bath St
Santa Barbara, CA 93101-3403
Phone (805) 963-9377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
46.49 of 100Reported as group
Quality
34.52
Promoting interoperability
0
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Orthopaedic Medical Group, Inc. CurrentSince Jan 1, 2013 Accepting new patients

Locations

511 Bath St
Santa Barbara, CA 93101
Phone (805) 963-9377

2027 Village Ln
Ste 101
Solvang, CA 93463
Phone (805) 279-5579

Interoperability endpoints

  • Direct secure messaging: rebecca.glusac.1@1272.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1134436777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013403",
            "telephone_number": "805-963-9377",
            "fax_number": "805-962-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013403",
            "telephone_number": "805-963-9377",
            "fax_number": "805-962-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUSAC",
        "first_name": "REBECCA",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA21078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.