Individual provider Active NPI

Shaula Hijazi, N.P.

  • Women's Health Nurse Practitioner
  • Santa Barbara, CA
National Provider Identifier
1255470324
Registry record updated Oct 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NPF2235 & RN288274 Issued in CA
Practice address
1805 E Cabrillo Blvd
Santa Barbara, CA 93108-2884
Phone
(805) 563-5003
Fax
(805) 563-3212
NPI assigned
Feb 6, 2007
Last updated
Oct 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NPF2235 & RN288274 CA Primary

Addresses

Primary practice location

1805 E Cabrillo Blvd
Santa Barbara, CA 93108-2884

Mailing address

PO Box 459
Goleta, CA 93116-0459
Phone (805) 563-5003

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
I20040826000966 CA Practitioner - Nurse Practitioner 0749255529 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1509 State St
Santa Barbara, CA 93101-2513
Phone (805) 563-5003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF2235 & RN288274CAMDWomen's Health Nurse Practitioner

Hospital & facility affiliations 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506816000000",
    "number": "1255470324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931160459",
            "telephone_number": "805-563-5003",
            "fax_number": "805-563-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E CABRILLO BLVD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082884",
            "telephone_number": "805-563-5003",
            "fax_number": "805-563-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIJAZI",
        "first_name": "SHAULA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NPF2235 & RN288274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.