Wanda Sue Kim-Hayes, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA20523 Issued in CA

Practice address

111 E Victoria St
Santa Barbara, CA 93101-2018

Phone

(805) 564-3233

NPI assigned

Oct 22, 2009

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

Other identifiers 2

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: whayes@directaddress.net
• Direct secure messaging: wkimhayes1307557@direct.uclahealth.org

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.

• County of Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  Medicare reassignment NPD
• J Robert West, M.D., Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment NPD
• The Regents of the University of California

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1235107566
  Medicare reassignment NPD
• Alexis Dougherty, Inc

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1568832657
  Medicare reassignment
• Kimberly Uhles Hurvitz, MD Inc

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1144594706
  Medicare reassignment
• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1154354504
  Medicare reassignment
• South Coast Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Barbara, CA
  • NPI 1861432627
  Medicare reassignment
• Ventura Emergency Physicians

  • Emergency Medicine Physician
  • Ventura, CA
  • NPI 1518298686
  Medicare reassignment
• County of Ventura

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1316350127
  NPD
• County of Ventura

  • Community/Behavioral Health Agency
  • Simi Valley, CA
  • NPI 1609098243
  NPD
• Luminous Dermatology

  • Clinical Medical Laboratory
  • Santa Barbara, CA
  • NPI 1427435304
  NPD
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1144648015
  NPD

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1760718985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707",
            "fax_number": "805-687-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E VICTORIA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012018",
            "telephone_number": "805-564-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Arrellaga St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931032275",
            "country_code": "US",
            "telephone_number": "805-687-5538",
            "fax_number": "805-687-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM-HAYES",
        "first_name": "WANDA",
        "middle_name": "SUE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAT'L COMM ON CERTIFICATION OF PHYSICIAN ASSISTANTS",
            "identifier": "1086592",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA20523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Kiffe
• Robert Steven Kiken, DDS
• Taylor Kilbride
• Gwendolyn Jane Kilfoyle, LMFT
• Kim Grafton MD Inc
• Dan Yul Kim, D.D.S.
• Elizabeth Myong-Ok Kim, M.D.
• Hye Kim, L.AC
• Hyo Katherine Kim, M.D.
• Jin Ah Kim

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.