Individual provider Active NPI

Adam Costas Catevenis, PA-C

  • Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1215482179
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
511 Bath St
Santa Barbara, CA 93101-3403
Phone
(805) 963-9377
NPI assigned
Aug 22, 2016
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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 Primary

Addresses

Primary practice location

511 Bath St
Santa Barbara, CA 93101-3403

Mailing address

511 Bath St
Santa Barbara, CA 93101-3403
Phone (805) 963-9377

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
I20161208002141 CA Practitioner - Physician Assistant 1052691045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

215 Pesetas LN
Santa Barbara, CA 93110-1416
Phone (805) 681-7800

4151 Foothill Rd
Santa Barbara, CA 93110-1110
Phone (805) 681-1760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.41 of 100Reported as group
Quality
64.37
Improvement activities
40
Cost
65.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53798CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Oct 21, 2024 Accepting new patients
Sansum Clinic Past Accepting new patients
Alta Orthopaedic Medical Group Inc Past Accepting new patients

Locations

4151 Foothill Rd
Bldg A
Santa Barbara, CA 93110
Phone (805) 681-7500

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

Interoperability endpoints

  • Direct secure messaging: acatevenis760413@hisp.ehr.sutterhealth.org
  • FHIR API: https://api.platform.athenahealth.com/1272/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1215482179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013403",
            "telephone_number": "805-963-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013403",
            "telephone_number": "805-963-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATEVENIS",
        "first_name": "ADAM",
        "middle_name": "COSTAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.