Individual provider Active NPI

Jon Uyesaka, MD

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1801958525
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A71032 Issued in CA
Practice address
5333 Hollister Ave
Ste 255
Santa Barbara, CA 93111-2470
Phone
(805) 681-7204
Fax
(805) 681-7206
NPI assigned
Dec 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A71032 CA Primary

Addresses

Primary practice location

5333 Hollister Ave
Ste 255
Santa Barbara, CA 93111-2470

Mailing address

5333 Hollister Ave
Ste 255
Santa Barbara, CA 93111-2470
Phone (805) 681-7204

Other identifiers 1

IdentifierTypeStateIssuer
00A710320MedicaidCA

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
I20040131000340 CA Practitioner - Internal Medicine 9234032673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5333 Hollister Ave
Suite 255
Santa Barbara, CA 93111-2470
Phone (805) 964-9858

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Vna Health Home health agency, Santa Barbara, CA, CCN 057163
  • Assisted Home Health Home health agency, Santa Barbara, CA, CCN 058324
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Internal Medicine Group a Medical Corporation Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients

Locations

5333 Hollister Ave
Ste 255
Santa Barbara, CA 93111
Phone (805) 681-7204

5333 Hollister Ave
Ste 201
Santa Barbara, CA 93111
Phone (805) 964-9858

Interoperability endpoints

  • Direct secure messaging: jon.uyesaka@46187980521474.direct.elationemr.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1801958525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "STE 255",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112470",
            "telephone_number": "805-681-7204",
            "fax_number": "805-681-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "STE 255",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112470",
            "telephone_number": "805-681-7204",
            "fax_number": "805-681-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYESAKA",
        "first_name": "JON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A710320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.