Individual provider Active NPI

Karen S Kolba, MD

  • Rheumatology Physician
  • Santa Maria, CA
National Provider Identifier
1710978713
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G59530 Issued in CA
Practice address
607 E Plaza Dr
Suite a
Santa Maria, CA 93454
Phone
(805) 925-8899
Fax
(805) 922-5259
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G59530 CA Primary

Addresses

Primary practice location

607 E Plaza Dr
Suite a
Santa Maria, CA 93454

Mailing address

110 Erna Way
Pismo Beach, CA 93449-3208
Phone (805) 925-8899

Other identifiers 1

IdentifierTypeStateIssuer
00G595300OtherCABLUE SHIELD PIN

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
I20100701000420 CA Practitioner - Rheumatology 7911038153 Practice locations: Santa Maria, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59530CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Arthritis Center Medical Group Rheumatology PastSince Feb 1, 1998 Accepting new patients

Organizations & group practices 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1710978713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ERNA WAY",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493208",
            "telephone_number": "805-925-8899",
            "fax_number": "805-922-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E PLAZA DR",
            "address_2": "SUITE A",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-925-8899",
            "fax_number": "805-922-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBA",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G59530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00G595300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.