Organization Active NPI

Kelly E. Williams MD, a Medical Corporation

  • Primary Care Clinic/Center
  • Santa Barbara, CA
National Provider Identifier
1194985804
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A73294 Issued in CA
Legal business name
KELLY E. WILLIAMS MD, A MEDICAL CORPORATION
Practice address
5333 Hollister Ave
Suite 237
Santa Barbara, CA 93111-2341
Phone
(949) 681-7204
Fax
(949) 681-7206
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. Kelly Elizabeth Williams, M.D.
Title
Owner
Phone
(949) 681-7204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A73294 CA Primary

Addresses

Primary practice location

5333 Hollister Ave
Suite 237
Santa Barbara, CA 93111-2341

Mailing address

5333 Hollister Ave
Suite 237
Santa Barbara, CA 93111-2341
Phone (949) 681-7204

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1194985804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "SUITE 237",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "949-681-7204",
            "fax_number": "949-681-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "SUITE 237",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "949-681-7204",
            "fax_number": "949-681-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY E. WILLIAMS MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-681-7204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A73294",
            "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 Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.