Active NPI
Robert Zylstra, MD
- Internal Medicine Physician
- Santa Barbara, CA
National Provider Identifier
1174652465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G36944
- Practice address
- 2495 Glen Albyn Drive
Santa Barbara, CA 93105 - Phone
- (805) 682-0414
- Fax
- (805) 524-0658
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G36944 | CA | Primary |
Addresses
Primary practice location
2495 Glen Albyn Drive
Santa Barbara, CA 93105
Mailing address
2495 Glen Albyn Drive
Santa Barbara, CA 93105
Phone (805) 682-0414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPI 1174652465 | Other | PERSONAL NPI | |
| G36944 | Other | CA | LICENSE |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120126000682 | CA | Practitioner - Internal Medicine | 8527235845 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1174652465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2495 GLEN ALBYN DRIVE",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93105",
"telephone_number": "805-682-0414",
"fax_number": "805-524-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 GLEN ALBYN DRIVE",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93105",
"telephone_number": "805-682-0414",
"fax_number": "805-524-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYLSTRA",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G36944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "NPI 1174652465",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G36944",
"state": "CA"
}
],
"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 Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.