Active NPI
Rea C Goumas, M.D.
- Pediatrics Physician
- Santa Barbara, CA
National Provider Identifier
1396853818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G57279
- Practice address
- 215 Pesetas LN
Santa Barbara, CA 93110-1416 - Phone
- (805) 681-1761
- Fax
- (805) 681-1768
- NPI assigned
- Aug 25, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G57279 | 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 |
|---|---|---|---|
| 00G572790 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57279 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1396853818",
"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": "GOUMAS",
"first_name": "REA",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G57279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G572790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.