Individual provider Active NPI

William Nicol Guddal, MD

  • Family Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1457371791
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G63113 Issued in CA
Practice address
517 W Junipero St
Santa Barbara, CA 93105-4239
Phone
(805) 682-8844
Fax
(805) 682-4735
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G63113 CA Primary

Addresses

Primary practice location

517 W Junipero St
Santa Barbara, CA 93105-4239

Mailing address

1150 Coast Village Rd Apt 206
Santa Barbara, CA 93108-2705
Phone (805) 969-6340

Other identifiers 1

IdentifierTypeStateIssuer
G63113OtherCASTATE LICENSE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G63113CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457371791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 COAST VILLAGE RD APT 206",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082705",
            "telephone_number": "805-969-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054239",
            "telephone_number": "805-682-8844",
            "fax_number": "805-682-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDDAL",
        "first_name": "WILLIAM",
        "middle_name": "NICOL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G63113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G63113",
            "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 Mar 7, 2023; 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.