Individual provider Active NPI

Duane R. Deamicis, N.P.

  • General Practice Registered Nurse
  • Santa Barbara, CA
National Provider Identifier
1215912688
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
332771 Issued in CA
Practice address
1136 E Montecito St
Santa Barbara, CA 93103-2635
Phone
(805) 568-2099
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 332771 CA Primary

Addresses

Primary practice location

1136 E Montecito St
Santa Barbara, CA 93103-2635

Mailing address

300 N San Antonio Rd BLDG 1
Santa Barbara, CA 93110-1316
Phone (805) 681-5461

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
I20150324000564 CA Order and Referring Only - Nurse Practitioner 0941240766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
332771CAMDGeneral Practice Registered Nurse
3421CAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1215912688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD BLDG 1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101316",
            "telephone_number": "805-681-5461",
            "fax_number": "805-681-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E MONTECITO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032635",
            "telephone_number": "805-568-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAMICIS",
        "first_name": "DUANE",
        "middle_name": "R.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "332771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.