Organization Active NPI

Family Practice Medical Group

  • Family Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1215046065
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PRACTICE MEDICAL GROUP
Practice address
200 N la Cumbre Rd
#E
Santa Barbara, CA 93110-1577
Phone
(805) 687-1505
Fax
(805) 682-8241
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Dr. Jerome T Kay, M.D.
Title
Inc
Phone
(805) 687-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

200 N la Cumbre Rd
#E
Santa Barbara, CA 93110-1577

Mailing address

200 N la Cumbre Rd
Suite E
Santa Barbara, CA 93110-1577
Phone (805) 687-1505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050721000171 CA Part B Supplier - Clinic/Group Practice 4284661273 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

112 W Cabrillo Blvd
Santa Barbara, CA 93101
Phone (805) 687-1505

200 N La Cumbre Rd
Santa Barbara, CA 93110
Phone (805) 687-6767

529 E Gutierrez St
Santa Barbara, CA 93103
Phone (805) 687-1505

27 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 687-1505

200 N La Cumbre Rd
Ste E
Santa Barbara, CA 93110
Phone (805) 687-1505

316 State St
Ste A
Santa Barbara, CA 93101
Phone (805) 687-1505

1014 State St
Santa Barbara, CA 93101
Phone (805) 687-1505

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 3

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1215046065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N LA CUMBRE RD",
            "address_2": "SUITE E",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101577",
            "telephone_number": "805-687-1505",
            "fax_number": "805-682-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LA CUMBRE RD",
            "address_2": "#E",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101577",
            "telephone_number": "805-687-1505",
            "fax_number": "805-682-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INC",
        "authorized_official_telephone_number": "805-687-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Sep 9, 2010; 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.