Individual provider Active NPI

Douglas A Etsell, M.D.

  • Anesthesiology Physician
  • Santa Barbara, CA
National Provider Identifier
1437205580
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G56805 Issued in CA
Practice address
514 W Pueblo St
Second Floor
Santa Barbara, CA 93105-6207
Phone
(805) 682-7751
Fax
(805) 563-2527
NPI assigned
Jan 25, 2007
Last updated
May 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G56805 CA Primary

Addresses

Primary practice location

514 W Pueblo St
Second Floor
Santa Barbara, CA 93105-6207

Mailing address

514 W Pueblo St
Second Floor
Santa Barbara, CA 93105-6207
Phone (805) 682-7751

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
I20070206000633 CA Practitioner - Anesthesiology 2264328632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
33.98 of 100Reported as group
Quality
39.97
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G56805CAMDAnesthesiology Physician

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1437205580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W PUEBLO ST",
            "address_2": "SECOND FLOOR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056207",
            "telephone_number": "805-682-7751",
            "fax_number": "805-563-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W PUEBLO ST",
            "address_2": "SECOND FLOOR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056207",
            "telephone_number": "805-682-7751",
            "fax_number": "805-563-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETSELL",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G56805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.