Individual provider Active NPI

Kimberly Alfano, PHD

  • Clinical Neuropsychologist
  • Santa Barbara, CA
National Provider Identifier
1326068115
Registry record updated Sep 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
14650 Issued in CA
Practice address
5266 Hollister Ave Ste 200
Santa Barbara, CA 93111-4038
Phone
(805) 760-1209
Fax
(805) 765-9557
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14650 CA
Clinical Neuropsychologist 103G00000X 14650 CA Primary

Addresses

Primary practice location

5266 Hollister Ave Ste 200
Santa Barbara, CA 93111-4038

Mailing address

PO Box 7203
Ventura, CA 93006-7203
Phone (805) 760-1209

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000432 CA Practitioner - Clinical Psychologist 7012010697 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5266 Hollister Ave
Suite 200
Santa Barbara, CA 93111-4038
Phone (805) 760-1209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY14650CAMDPsychologist
14650CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Physical Medicine and Rehabilitation Medical Group Inc. PastSince Sep 12, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17346/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1326068115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7203",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930067203",
            "telephone_number": "805-760-1209",
            "fax_number": "805-765-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 200",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931114038",
            "telephone_number": "805-760-1209",
            "fax_number": "805-765-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFANO",
        "first_name": "KIMBERLY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14650",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "14650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.