Individual provider Active NPI

Julio A Soares, MD

  • Plastic Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1275607160
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A32832 Issued in CA
Practice address
5333 Hollister Ave Ste 105
Santa Barbara, CA 93111-3309
Phone
(805) 967-1359
NPI assigned
Nov 20, 2006
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A32832 CA
Plastic Surgery Physician 208200000X A32832 CA Primary

Addresses

Primary practice location

5333 Hollister Ave Ste 105
Santa Barbara, CA 93111-3309

Mailing address

5333 Hollister Ave Ste 195
Santa Barbara, CA 93111-2465
Phone (805) 967-1359

Other practice location 1

5333 Hollister Ave Ste 195
Santa Barbara, CA 93111-2465
Phone (805) 967-1359

Other identifiers 2

IdentifierTypeStateIssuer
770143765OtherCATAX ID
A32832OtherCACALIFORNIA LICENSE

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
I20120327000510 CA Practitioner - Plastic and Reconstructive Surgery 3173783222 Practice locations: Santa Barbara, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A32832CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc a Soares MD Inc Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Aesthetic Center for Plastic Surgery PastSince Oct 1, 1978 Accepting new patients

Locations

5333 Hollister Ave
Ste 195
Santa Barbara, CA 93111
Phone (415) 370-7415

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1275607160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE STE 195",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112465",
            "telephone_number": "805-967-1359",
            "fax_number": "805-683-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE STE 105",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113309",
            "telephone_number": "805-967-1359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5333 Hollister Ave Ste 195",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931112465",
            "country_code": "US",
            "telephone_number": "805-967-1359",
            "fax_number": "805-683-3319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOARES",
        "first_name": "JULIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A32832",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A32832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "770143765",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "A32832",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.