Individual provider Active NPI

Paul Hennig, MD

  • Family Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1619382504
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A139035 Issued in CA
Practice address
4141 State St Ste B11
Santa Barbara, CA 93110-1898
Phone
(805) 681-7356
Fax
(805) 681-7358
NPI assigned
Jun 30, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A139035 CA Primary

Addresses

Primary practice location

4141 State St Ste B11
Santa Barbara, CA 93110-1898

Mailing address

4141 State St Ste B11
Santa Barbara, CA 93110-1898
Phone (805) 681-7356

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180110003529 CA Practitioner - Family Practice 9830458272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A139035CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Indian Health & Services Corporation CurrentSince Dec 10, 2017 Accepting new patients
American Indian Health & Services Corporation PastSince Jul 24, 2022 Accepting new patients

Locations

4141 State St
Ste B11
Santa Barbara, CA 93110
Phone 8056817144 ext. 216

4141 State St
Ste B2
Santa Barbara, CA 93110
Phone (805) 681-7144

Interoperability endpoints

  • Direct secure messaging: paul.hennig.p1@direct.aihs.nextgenshare.com

Organizations & group practices 2

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619382504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 STATE ST STE B11",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101898",
            "telephone_number": "805-681-7356",
            "fax_number": "805-681-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 STATE ST STE B11",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101898",
            "telephone_number": "805-681-7356",
            "fax_number": "805-681-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIG",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A139035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.