Jacqueline Desitter Krock, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G66938 Issued in CA

Practice address

3324 State St Ste I
Santa Barbara, CA 93105-2672

Phone

(805) 563-0933

Fax

(805) 845-0606

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

University of Southern California Keck School of Medicine, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Donald E Lindblad MD AMC

  • Obstetrics & Gynecology Physician
  • Santa Barbara, CA
  • NPI 1457481814
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1578607198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 STATE ST STE I",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052672",
            "telephone_number": "805-563-0933",
            "fax_number": "805-845-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 STATE ST STE I",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052672",
            "telephone_number": "805-563-0933",
            "fax_number": "805-845-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCK",
        "first_name": "JACQUELINE",
        "middle_name": "DESITTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G66938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Kravetz, MFT
• Beryl Kreisel, LCSW
• Elizabeth I Krenz, MD
• Diane Susan Krieger, PH.D.
• John Jacob Krochmal IV, OD
• Paul Richard Kroekel, LMFT
• Jeremy Scott Kroes, M.D.
• Ellen Kroll
• Emma Anne Kroloff, PA
• Lisa Kroner

• Internal Medicine Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.