Individual provider Active NPI

Cami Elyse Ferris-Wong, D.D.S

  • Endodontics
  • Santa Barbara, CA
National Provider Identifier
1770793002
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
45571 Issued in CA
Practice address
1525 State St
Suite 201
Santa Barbara, CA 93101-2500
Phone
(805) 962-0161
Fax
(805) 962-0418
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 45571 CA Primary

Addresses

Primary practice location

1525 State St
Suite 201
Santa Barbara, CA 93101-2500

Mailing address

1525 State St
Suite 201
Santa Barbara, CA 93101-2500
Phone (805) 962-0161

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721002706 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4082927975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1770793002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 STATE ST",
            "address_2": "SUITE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012500",
            "telephone_number": "805-962-0161",
            "fax_number": "805-962-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 STATE ST",
            "address_2": "SUITE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012500",
            "telephone_number": "805-962-0161",
            "fax_number": "805-962-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS-WONG",
        "first_name": "CAMI",
        "middle_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "45571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.