Individual provider Active NPI

John E. Souza, M.D.

  • Anesthesiology Physician
  • Santa Barbara, CA
National Provider Identifier
1801988274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G80852 Issued in CA
Practice address
5333 Hollister Ave
#130
Santa Barbara, CA 93111-2341
Phone
(805) 967-6353
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G80852 CA Primary

Addresses

Primary practice location

5333 Hollister Ave
#130
Santa Barbara, CA 93111-2341

Mailing address

11999 San Vicente Blvd
#440
Los Angeles, CA 90049-5131
Phone (310) 471-5852

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
I20120312000157 CA Practitioner - Anesthesiology 1951342864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Columbia University College of Physicians and Surgeons, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates Medical Group, Inc.Group PAC ID 1951386598, 10 clinicians

Practice addresses (Care Compare)

351 S Patterson Ave
Santa Barbara, CA 93111-2403
Phone (805) 967-3411

Hospital & facility affiliations

  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80852CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates Medical Group, Inc. CurrentSince May 1, 2000 Accepting new patients

Locations

11999 San Vicente Blvd
Ste 440
Los Angeles, CA 90049

5333 Hollister Ave
Ste 130
Santa Barbara, CA 93111
Phone (805) 967-6351

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

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 1

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801988274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "#440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-471-5852",
            "fax_number": "310-471-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE",
            "address_2": "#130",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112341",
            "telephone_number": "805-967-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "JOHN",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G80852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.