Active NPI
Paul Hennig, MD
- Family Medicine Physician
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A139035
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139035 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Indian Health & Services Corporation | Current | Accepting new patients | |
| American Indian Health & Services Corporation | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Santa Barbara, CA
- NPI 1740222934
-
dba American Indian Health & Services Carpinteria Dental Clinic
- Federally Qualified Health Center (FQHC)
- Carpinteria, CA
- NPI 1487204244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.