Organization Active NPI

Roberta D Sengelmann MD Inc

Doing business as Santa Barbara Skin Institute

  • Dermatology Physician
  • Santa Barbara, CA
National Provider Identifier
1497033278
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G88181 Issued in CA
Legal business name
ROBERTA D SENGELMANN MD INC
Doing business as
Santa Barbara Skin Institute
Practice address
2921 De la Vina St
Santa Barbara, CA 93105-3309
Phone
(805) 770-3999
Fax
(805) 770-3999
NPI assigned
Jul 28, 2011
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Roberta D Sengelmann, MDNPI 1841216082
Title
President
Phone
(805) 963-3757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G88181 CA Primary

Addresses

Primary practice location

2921 De la Vina St
Santa Barbara, CA 93105-3309

Mailing address

PO Box 50706
Santa Barbara, CA 93150-0706
Phone (805) 963-3757

Other identifiers 1

IdentifierTypeStateIssuer
G88181OtherCASTATE LICENSE

Other names 1

  • Santa Barbara Skin Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111103000702 CA Part B Supplier - Clinic/Group Practice 9931372133 Receives reassigned benefits from 7 practitioners
Practice locations: Santa Barbara, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2032820Santa Barbara Skin Institute2921 De la Vina St, Santa Barbara, CA 93105ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

2028 Village Ln
Solvang, CA 93463
Phone (805) 688-1983

2028 Village Ln
Ste 202A
Solvang, CA 93463
Phone (805) 697-7864

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1497033278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50706",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931500706",
            "telephone_number": "805-963-3757",
            "fax_number": "805-564-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053309",
            "telephone_number": "805-770-3999",
            "fax_number": "805-770-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA D SENGELMANN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "SENGELMANN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-963-3757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G88181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G88181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Barbara Skin Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.