Individual provider Active NPI

Tina Rose Schukart, PA-C

  • Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1346526373
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21905 Issued in CA
Practice address
Ucsb Student Health Services Building 588, M/C 7002
Santa Barbara, CA 93106-4310
Phone
(805) 893-5339
NPI assigned
Oct 21, 2011
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21905 CA Primary

Addresses

Primary practice location

Ucsb Student Health Services Building 588, M/C 7002
Santa Barbara, CA 93106-4310

Mailing address

Ucsb Student Health Services Building 588, M/C 7002
Santa Barbara, CA 93106-0001
Phone (805) 893-5339

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140716000710 CA Practitioner - Physician Assistant 8628293206 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21905CAMDOccupational Therapist
PA21905CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Sep 15, 2020 Accepting new patients

Locations

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

317 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-7500

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": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1346526373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCSB STUDENT HEALTH SERVICES BUILDING 588, M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931060001",
            "telephone_number": "805-893-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSB STUDENT HEALTH SERVICES BUILDING 588, M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931064310",
            "telephone_number": "805-893-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUKART",
        "first_name": "TINA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.