Individual provider Active NPI

Gerald Svedlow, MD

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1255365292
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G065081 Issued in CA
Practice address
5333 Hollister Ave
#201
Santa Barbara, CA 93111-2341
Phone
(805) 964-9858
NPI assigned
Jul 10, 2006
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G065081 CA Primary

Addresses

Primary practice location

5333 Hollister Ave
#201
Santa Barbara, CA 93111-2341

Mailing address

PO Box 6676
Santa Barbara, CA 93160-6676
Phone (805) 964-9858

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
I20040209000370 CA Practitioner - Internal Medicine 9335032879 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G065081CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buellton Medical Center CurrentSince Apr 5, 2010 Accepting new patients
Santa Barbara Internal Medicine Group a Medical Corporation Internal Medicine CurrentSince May 1, 1999 Accepting new patients

Locations

195 W Highway 246
Buellton, CA 93427
Phone (805) 686-8555

5333 Hollister Ave
Ste 201
Santa Barbara, CA 93111
Phone (805) 964-9858

5333 Hollister Ave
Ste 255
Santa Barbara, CA 93111
Phone (805) 681-7204

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1255365292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6676",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931606676",
            "telephone_number": "805-964-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "#201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "805-964-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVEDLOW",
        "first_name": "GERALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G065081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.