Individual provider Active NPI

Rosalie Lorian Meijer, PA-C, MMS

  • Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1295867919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-16300 Issued in CA
Practice address
320 W Pueblo St
Santa Barbara Cottage Hospital - Trauma Services
Santa Barbara, CA 93105-4311
Phone
(805) 569-7451
Fax
(805) 569-7890
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-16300 CA Primary
Physician Assistant 363A00000X 9101798 FL

Addresses

Primary practice location

320 W Pueblo St
Santa Barbara Cottage Hospital - Trauma Services
Santa Barbara, CA 93105-4311

Mailing address

176 Kingston Ave Apt C
Goleta, CA 93117-2322
Phone (805) 692-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA-16300CAMDPhysician Assistant
9101798FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295867919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 KINGSTON AVE APT C",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172322",
            "telephone_number": "805-692-0725",
            "fax_number": "805-569-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W PUEBLO ST",
            "address_2": "SANTA BARBARA COTTAGE HOSPITAL - TRAUMA SERVICES",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054311",
            "telephone_number": "805-569-7451",
            "fax_number": "805-569-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIJER",
        "first_name": "ROSALIE",
        "middle_name": "LORIAN",
        "credential": "PA-C, MMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA-16300",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9101798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.