Individual provider Active NPI

Golsa Arad, DDS, MS

  • Prosthodontics
  • Santa Barbara, CA
National Provider Identifier
1780161398
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
107287 Issued in CA
Practice address
4141 State St
Santa Barbara, CA 93110-1814
Phone
(805) 436-3012
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 4353 WV
Prosthodontics 1223P0700X 35970 TX
Prosthodontics 1223P0700X 107287 CA Primary

Addresses

Primary practice location

4141 State St
Santa Barbara, CA 93110-1814

Mailing address

4141 State St
Santa Barbara, CA 93110-1814
Phone (805) 436-3012

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
I20240918004866 CA Order and Referring Only - DentistPractitioner - Dentist 0042751943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
107287CAMDClinical Social Worker
35970TXMDProsthodontist
4353WVMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ids Dental Services PLLC Past Accepting new patients
Double JD,LLC Past Accepting new patients

Organizations & group practices 2

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1780161398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101814",
            "telephone_number": "805-436-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101814",
            "telephone_number": "805-436-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAD",
        "first_name": "GOLSA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WV",
            "license": "4353",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "35970",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "107287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.