Individual provider Active NPI

Laura Sices, MD

  • Developmental - Behavioral Pediatrics Physician
  • Goleta, CA
National Provider Identifier
1417974320
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
C146318 Issued in CA
Practice address
5333 Hollister Ave Ste 250
Goleta, CA 93111-2466
Phone
(805) 879-4240
Fax
(805) 879-4268
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C146318 CA
Developmental - Behavioral Pediatrics Physician 2080P0006X C146318 CA Primary

Addresses

Primary practice location

5333 Hollister Ave Ste 250
Goleta, CA 93111-2466

Mailing address

2312 Pacific Coast Dr
Goleta, CA 93117-5401
Phone (805) 324-4408

Other identifiers 1

IdentifierTypeStateIssuer
110077313AMedicaidMA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426003198 CA Practitioner - Pediatric Medicine 7810970381 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C146318CAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Clinical Associates Pediatrics CurrentSince Apr 1, 2023 Accepting new patients
Cottage Medical Foundation CurrentSince Jul 1, 2025 Accepting new patients
Boston Medical Center Corporation Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Laura Sices MD, Inc. Developmental - Behavioral Pediatrics PastSince Jul 24, 2022 Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

2 James Way
Ste 112
Pismo Beach, CA 93449
Phone (805) 556-3037

5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240

2400 Bath St
Ste 201
Santa Barbara, CA 93105
Phone (805) 682-7707

5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

4360 E Main St
#B2A
Ventura, CA 93003

Organizations & group practices 6

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417974320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 PACIFIC COAST DR",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931175401",
            "telephone_number": "805-324-4408",
            "fax_number": "805-879-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE STE 250",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112466",
            "telephone_number": "805-879-4240",
            "fax_number": "805-879-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICES",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C146318",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "C146318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110077313A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.