Organization Active NPI

James L Kwako MD Wellness Medicine

  • Family Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1154555639
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C37727 Issued in CA
Legal business name
JAMES L KWAKO MD WELLNESS MEDICINE
Practice address
1805 E Cabrillo Blvd
Suite D
Santa Barbara, CA 93108-2884
Phone
(805) 565-3959
Fax
(805) 568-3989
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. James L Kwako, MDNPI 1396784567
Title
President
Phone
(805) 565-3959

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C37727 CA Primary

Addresses

Primary practice location

1805 E Cabrillo Blvd
Suite D
Santa Barbara, CA 93108-2884

Mailing address

1805 E Cabrillo Blvd
Suite D
Santa Barbara, CA 93108-2884
Phone (805) 565-3959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000252 CA Part B Supplier - Clinic/Group Practice 7517014582 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

1805 E Cabrillo Blvd
Ste D
Santa Barbara, CA 93108
Phone (805) 565-3959

Practitioners & affiliated clinicians

Practitioners 1

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": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1154555639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E CABRILLO BLVD",
            "address_2": "SUITE D",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082884",
            "telephone_number": "805-565-3959",
            "fax_number": "805-565-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E CABRILLO BLVD",
            "address_2": "SUITE D",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082884",
            "telephone_number": "805-565-3959",
            "fax_number": "805-568-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L KWAKO MD WELLNESS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "KWAKO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-565-3959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C37727",
            "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 May 12, 2009; 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.