Active NPI
Yvonne Beth Ferguson, MD, MPH
- Child & Adolescent Psychiatry Physician
- Goleta, CA
National Provider Identifier
1396789467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- C34498
- Practice address
- 5951 Encina Rd
Goleta, CA 93117-6248 - Phone
- (805) 967-6967
- Fax
- (805) 681-0524
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | C34498 | CA | Primary |
Addresses
Primary practice location
5951 Encina Rd
Goleta, CA 93117-6248
Mailing address
5951 Encina Rd
Goleta, CA 93117-6248
Phone (805) 967-6967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C34498 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396789467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5951 ENCINA RD",
"city": "GOLETA",
"state": "CA",
"postal_code": "931176248",
"telephone_number": "805-967-6967",
"fax_number": "805-681-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5951 ENCINA RD",
"city": "GOLETA",
"state": "CA",
"postal_code": "931176248",
"telephone_number": "805-967-6967",
"fax_number": "805-681-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "YVONNE",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C34498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C34498",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goleta, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.