Organization Active NPI

Kim Grafton MD Inc

  • Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1487722773
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G69543 Issued in CA
Legal business name
KIM GRAFTON MD INC
Practice address
520 W Junipero St
Santa Barbara, CA 93105-4212
Phone
(805) 730-1470
Fax
(805) 730-1473
NPI assigned
Dec 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Kim Grafton, MD
Title
President
Phone
(805) 730-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G69543 CA Primary

Addresses

Primary practice location

520 W Junipero St
Santa Barbara, CA 93105-4212

Mailing address

520 W Junipero St
Santa Barbara, CA 93105-4212
Phone (805) 730-1470

Other identifiers 1

IdentifierTypeStateIssuer
1487722773MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://advancedsurgicalassociates.com

National Provider Directory

National Provider Directory

Locations

520 W Junipero St
Santa Barbara, CA 93105
Phone (805) 682-9274

NPI Registry JSON

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1487722773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054212",
            "telephone_number": "805-730-1470",
            "fax_number": "805-730-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054212",
            "telephone_number": "805-730-1470",
            "fax_number": "805-730-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM GRAFTON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "GRAFTON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-730-1470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G69543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487722773",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://advancedsurgicalassociates.com",
            "affiliation": "N",
            "address_1": "520 W Junipero St",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931054212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 25, 2019; 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.