Individual provider Active NPI

Katherine Chung, MD

  • Neonatal-Perinatal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1255591913
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
A110823 Issued in CA
Practice address
400 W Pueblo St
Neonatal ICU
Santa Barbara, CA 93105-4353
Phone
(805) 569-7522
NPI assigned
Jun 16, 2008
Last updated
May 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X A110823 CA Primary

Addresses

Primary practice location

400 W Pueblo St
Neonatal ICU
Santa Barbara, CA 93105-4353

Mailing address

PO Box 30068
Santa Barbara, CA 93130-0068
Phone (805) 569-7522

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
I20120626000369 CA Practitioner - Pediatric Medicine 1153586110 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110823CAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Clinical Associates Neonatal-Perinatal Medicine CurrentSince Dec 17, 2023 Accepting new patients
Cottage Medical Foundation CurrentSince Jul 1, 2025 Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

2415 De la Vina St
Santa Barbara, CA 93105
Phone (805) 569-8922

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

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

5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272

5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 569-7294

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

Organizations & group practices 3

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1255591913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30068",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931300068",
            "telephone_number": "805-569-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W PUEBLO ST",
            "address_2": "NEONATAL ICU",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054353",
            "telephone_number": "805-569-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A110823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.