Active NPI
Angelina Dukesherer, MD
- Internal Medicine Physician
- Santa Barbara, CA
National Provider Identifier
1295987899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A113315
- Practice address
- 320 W Pueblo St
Santa Barbara, CA 93105-4311 - Phone
- (805) 464-6104
- Fax
- (805) 733-1213
- NPI assigned
- Oct 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A113315 | CA | Primary |
Addresses
Primary practice location
320 W Pueblo St
Santa Barbara, CA 93105-4311
Mailing address
836 Anacapa St # 20058
Santa Barbara, CA 93102-9997
Phone (805) 464-6104
Other names 1
- Angelina Tan
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
320 W Pueblo St
Santa Barbara, CA 93105-4311
Phone (805) 464-6104
Hospital & facility affiliations
- Santa Barbara Cottage Hospital
- Goleta Valley Cottage Hospital
- Santa Ynez Valley Cottage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.59 of 100
- Quality
- 100
- Improvement activities
- 0
- Cost
- 85.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113315 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dukesherer Medical Corporation | Internal Medicine | Current | Accepting new patients |
Locations
320 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 464-6104
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Santa Barbara, CA
- NPI 1265023618
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1225038136
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
- General Acute Care Hospital
- Solvang, CA
- NPI 1952301863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1295987899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 ANACAPA ST # 20058",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931029997",
"telephone_number": "805-464-6104",
"fax_number": "805-733-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W PUEBLO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054311",
"telephone_number": "805-464-6104",
"fax_number": "805-733-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKESHERER",
"first_name": "ANGELINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A113315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELINA",
"last_name": "TAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.