Active NPI
Laura Sices, MD
- Developmental - Behavioral Pediatrics Physician
- Goleta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- C146318
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110077313A | Medicaid | MA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C146318 | CA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottage Clinical Associates | Pediatrics | Current | Accepting new patients |
| Cottage Medical Foundation | Current | 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 | Past | 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.
-
dba Cottage Children's Medical Group
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1235790544
Pediatrics
-
- Developmental - Behavioral Pediatrics Physician
- Goleta, CA
- NPI 1447789318
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1649296807
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
dba Dorchester House Multi Service Center
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.