Individual provider Active NPI

Thomas B Woliver, MD

  • Hematology & Oncology Physician
  • Santa Barbara, CA
National Provider Identifier
1619995057
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G39797 Issued in CA
Practice address
540 West Pueblo Street
Santa Barbara, CA 93105-4230
Phone
(805) 563-5800
Fax
(805) 898-3614
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G39797 CA Primary

Addresses

Primary practice location

540 West Pueblo Street
Santa Barbara, CA 93105-4230

Mailing address

540 W Pueblo St
Santa Barbara, CA 93105-4230
Phone (805) 563-5800

Other identifiers 1

IdentifierTypeStateIssuer
00G397970MedicaidCA

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
I20100121000425 CA Practitioner - Hematology/Oncology 2769380591 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39797CAMDGeneral Practice Dentistry
G39797CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Mar 21, 2011 Accepting new patients
Sansum Clinic CurrentSince Mar 21, 2011 Accepting new patients

Locations

540 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 563-5800

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1619995057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054230",
            "telephone_number": "805-563-5800",
            "fax_number": "805-898-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 WEST PUEBLO STREET",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054230",
            "telephone_number": "805-563-5800",
            "fax_number": "805-898-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLIVER",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G39797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G397970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.