George Keith Llewellyn, MD, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A80609 Issued in CA

Legal business name

GEORGE KEITH LLEWELLYN, MD, INC.

Doing business as

Aloe Dermatology

Practice address

1722 State St Ste 103
Santa Barbara, CA 93101-2526

Phone

(805) 884-4900

Fax

(805) 456-8118

NPI assigned

Feb 17, 2009

Last updated

Jul 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Keith Llewellyn, M.D.NPI 1083673735

Title

President

Phone

(805) 884-4900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aloe Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Keith Llewellyn, MD

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1083673735
  Medicare reassignment Care Compare group Authorized official
• Emily A Bottiani

  • Student in an Organized Health Care Education/Training Program
  • Madison, WI
  • NPI 1780317776

  CA

  Medicare reassignment Care Compare group
• Evelyn Louise Evans, PA-C, MS

  • Physician Assistant
  • Carlsbad, CA
  • NPI 1801416839
  Medicare reassignment
• Herbert Michael Janklow, MD

  • Dermatology Physician
  • Santa Ynez, CA
  • NPI 1194756072
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1689813560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 STATE ST STE 103",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012526",
            "telephone_number": "805-884-4900",
            "fax_number": "805-456-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 STATE ST STE 103",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012526",
            "telephone_number": "805-884-4900",
            "fax_number": "805-456-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE KEITH LLEWELLYN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "LLEWELLYN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-884-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A80609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ55678Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloe Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aloe Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luc Gelinas, D.C.
• Rebecca Gelini, MA, LMFT
• Hailey Elizabeth Gellert, PT, DPT
• General Practice Partners PC (General Practice Partners)
• Genoa Healthcare LLC
• George R. Walseth, D.D.S., Inc
• Ryan George, LMFT
• Kara Elizabeth Georgiadis
• Nels James Gerhardt, M.D.
• Crystal Ann Germanetti, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.