Individual provider Active NPI

Janet Theresa Spagna, PA-C

  • Physician Assistant
  • Goleta, CA
National Provider Identifier
1609127034
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7127 Hollister Ave Ste 2
Goleta, CA 93117-5899
Phone
(805) 979-4646
Fax
(805) 685-2800
NPI assigned
Sep 25, 2012
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

7127 Hollister Ave Ste 2
Goleta, CA 93117-5899

Mailing address

7127 Hollister Ave Ste 2
Goleta, CA 93117-5899
Phone (805) 979-4646

Other practice location 1

220 Pacific Oaks Rd Ste 2
Goleta, CA 93117
Phone (805) 979-4646

Other identifiers 1

IdentifierTypeStateIssuer
PA22662OtherCAMEDICAL BOARD OF CALIFORNIA LICENSE

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000538 CA Practitioner - Physician Assistant 5890947956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Neighborhood Clinics CurrentSince Jul 6, 2021 Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Jul 6, 2021 Accepting new patients
Jackson & Engberg Medical Corporation CurrentSince Feb 15, 2025 Accepting new patients
First Choice Physician Partners Past Accepting new patients
Santa Barbara Neighborhood Clinics Past Accepting new patients

Locations

7127 Hollister Ave
Ste 2
Goleta, CA 93117
Phone 8056828844400

628 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 963-1546

915 N Milpas St
Santa Barbara, CA 93103
Phone (805) 963-1641

Interoperability endpoints

  • Direct secure messaging: janet.spagna@9985070071812.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1609127034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 HOLLISTER AVE STE 2",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931175899",
            "telephone_number": "805-979-4646",
            "fax_number": "805-685-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 HOLLISTER AVE STE 2",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931175899",
            "telephone_number": "805-979-4646",
            "fax_number": "805-685-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Pacific Oaks Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Goleta",
            "state": "CA",
            "postal_code": "93117",
            "country_code": "US",
            "telephone_number": "805-979-4646",
            "fax_number": "805-685-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAGNA",
        "first_name": "JANET",
        "middle_name": "THERESA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA LICENSE",
            "identifier": "PA22662",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.