Carlie Anne Trevelyan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2323 Oak Park LN Ste 202
Santa Barbara, CA 93105-4276

Phone

(805) 892-8111

NPI assigned

Jul 3, 2023

Sex

Female

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• California Dermatology Group PC

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1104405943
  Medicare reassignment

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1639856339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 OAK PARK LN STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054276",
            "telephone_number": "480-620-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 OAK PARK LN STE 202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054276",
            "telephone_number": "805-892-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVELYAN",
        "first_name": "CARLIE",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tree of Life Inc.
• Kayla Treffinger, RN, BSN, PHN
• Ally M Trefts, AOD
• Deanna Nancy Trejo
• Darryl Ray Tressler, D.D.S.
• Salvador Delgado Trevino, PHD
• Connor James Triggs, D.O.
• Alex J Trigonis, DDS MS
• Debbie Trinidad
• Iona Mairi Tripathi, MD

• Physician Assistant in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.

Verify at the official NPI Registry.