Active NPI
John G Elder, M.D.
- Nephrology Physician
- Santa Barbara, CA
National Provider Identifier
1366454225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G42663
- Practice address
- 215 Pesetas LN
Santa Barbara, CA 93110-1416 - Phone
- (805) 681-1761
- Fax
- (805) 681-1768
- NPI assigned
- Aug 12, 2006
- Last updated
- Nov 8, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G42663 | CA | Primary |
Addresses
Primary practice location
215 Pesetas LN
Santa Barbara, CA 93110-1416
Mailing address
PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 681-1761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G426630 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42663 | CA | MD | Dentist |
| G42663 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sansum Clinic | Current | Accepting new patients | |
| Sansum Clinic | Current | Accepting new patients | |
| Lompoc Valley Medical Center | Current | Accepting new patients | |
| Sansum Clinic | Current | Accepting new patients | |
| Sansum Clinic | Past | Accepting new patients |
Locations
1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765
Organizations & group practices 5
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.
-
- General Practice Physician
- Lompoc, CA
- NPI 1649282856
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1144648015
-
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1154354504
-
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1932121514
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1649296807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1366454225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62106",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931602106",
"telephone_number": "805-681-1761",
"fax_number": "805-681-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 PESETAS LN",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101416",
"telephone_number": "805-681-1761",
"fax_number": "805-681-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "JOHN",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G42663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G426630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
- Alexandra P Eidelwein, MD
- Katie R Eklund
- Catherine Ekwa-Ekoko, MD
- Sherif El-Asyouty, M.D.
- Talore Eldar, OTR/L
- Nicholas Elia
- Elite Rehabilitation Center, Inc.
- Elizabeth Ciuffini Fairfield (Ciuffini Nutrition Services)
- Elizabeth Pearson-Plummer PHD a Professional Psychology Corporation
- Lizdebeth Naima Elizalde
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.