Individual provider Active NPI

Claire Elizabeth Wiswall, P.A.

  • Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1164501649
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15206 Issued in CA
Practice address
2320 Bath St Ste 205
Santa Barbara, CA 93105-5313
Phone
(805) 569-1164
Fax
(805) 569-1094
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15206 CA Primary

Addresses

Primary practice location

2320 Bath St Ste 205
Santa Barbara, CA 93105-5313

Mailing address

2285 Corporate Cir
Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763

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
I20050517001039 CA Practitioner - Physician Assistant 3375584600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

116 S Palisade Dr
Suite 208
Santa Maria, CA 93454-8906
Phone (805) 922-3632

2320 Bath St
Suite 205
Santa Barbara, CA 93105-5313
Phone (805) 569-1164

400 Newport Ctr Dr
Suite 702
Newport Beach, CA 92660-7669
Phone (949) 644-0101

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc CurrentSince May 1, 2020 Accepting new patients

Locations

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

2320 Bath St
Ste 205
Santa Barbara, CA 93105
Phone (805) 569-1164

504 W Pueblo St
Ste 102
Santa Barbara, CA 93105
Phone (805) 682-3329

116 S Palisade Dr
Ste 208
Santa Maria, CA 93454
Phone (805) 347-2100

2030 Viborg Rd
Ste 202
Solvang, CA 93463
Phone (805) 688-4236

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Organizations & group practices 3

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1164501649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR",
            "address_2": "STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055313",
            "telephone_number": "805-569-1164",
            "fax_number": "805-569-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISWALL",
        "first_name": "CLAIRE",
        "middle_name": "ELIZABETH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "15206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.