Individual provider Active NPI

Jennifer B. Kosek, M.D.

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1215129184
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A107461 Issued in CA
Practice address
2320 Bath St Ste 113
Santa Barbara, CA 93105-4377
Phone
(805) 682-7984
NPI assigned
Aug 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A107461 CA Primary

Addresses

Primary practice location

2320 Bath St Ste 113
Santa Barbara, CA 93105-4377

Mailing address

2320 Bath St Ste 208
Santa Barbara, CA 93105-5322
Phone (805) 682-7984

Other identifiers 3

IdentifierTypeStateIssuer
1215129184MedicaidCA
0A1074610MedicaidCA
00A1074610OtherCABS OF CA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000471 CA Practitioner - Diagnostic Radiology 7214191279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians

Practice addresses (Care Compare)

1306 Maricopa Hwy
Ojai, CA 93023-3131
Phone (805) 646-1401

147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2872

2050 Viborg Rd
Solvang, CA 93463-2220
Phone (800) 841-4236

2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5655

2320 Bath St
Santa Barbara, CA 93105-5322
Phone (800) 841-4236

2320 Bath St
Suite 113
Santa Barbara, CA 93105-4339
Phone (805) 682-7744

351 S Patterson Ave
Santa Barbara, CA 93111-2403
Phone (805) 681-6406

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Mar 9, 2023 Accepting new patients
Sansum Clinic CurrentSince Mar 9, 2023 Accepting new patients
Sansum Clinic Current Accepting new patients
California Managed Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

Dept LA 21738
Pasadena, CA 91185

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

2320 Bath St
Ste 211
Santa Barbara, CA 93105
Phone (805) 560-8111

317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500

2320 Bath St
Ste 208
Santa Barbara, CA 93105

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

168 N Brent St
Ste 401
Ventura, CA 93003
Phone (805) 652-5093

Interoperability endpoints

  • Direct secure messaging: jkosek760845@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1215129184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 208",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055322",
            "telephone_number": "805-682-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 113",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054377",
            "telephone_number": "805-682-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSEK",
        "first_name": "JENNIFER",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A107461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215129184",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1074610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CA",
            "identifier": "00A1074610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.