NPIMap

Individual provider Active NPI

Charles Jacob Stolar, M.D.

  • Pediatric Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1437242252
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
G89130 Issued in CA
Practice address
2403 Castillo St
Suite 202
Santa Barbara, CA 93105-5316
Phone
(805) 563-6560
Fax
(805) 563-3680
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 150347 NY
Pediatric Surgery Physician 2086S0120X G89130 CA Primary

Addresses

Primary practice location

2403 Castillo St
Suite 202
Santa Barbara, CA 93105-5316

Mailing address

2403 Castillo St
Suite 202
Santa Barbara, CA 93105-5316
Phone (805) 563-6560

Other identifiers 1

IdentifierTypeStateIssuer
00741002.MedicaidNY

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

LicenseStateTypeSpecialty
G89130CAMDPediatric Surgery Physician
150347NYMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Westchester Hospital Association Past Accepting new patients
St Francis Hospital - Poughkeepsie Past Accepting new patients
Englewood Hospital and Medical Center Past Accepting new patients
The Regents of the University of California Pediatric Surgery Past Accepting new patients
County of Ventura Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Pediatric Subspecialty Network Inc. Pediatric Surgery Past Accepting new patients

Organizations & group practices 8

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1437242252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 CASTILLO ST",
            "address_2": "SUITE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055316",
            "telephone_number": "805-563-6560",
            "fax_number": "805-563-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 CASTILLO ST",
            "address_2": "SUITE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055316",
            "telephone_number": "805-563-6560",
            "fax_number": "805-563-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLAR",
        "first_name": "CHARLES",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "150347",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "G89130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00741002.",
            "state": "NY"
        }
    ],
    "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 Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.