Kenneth Waxman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G32872 Issued in CA

Practice address

320 W Pueblo St
Santa Barbara, CA 93105-4311

Phone

(805) 569-7316

Fax

(805) 569-7317

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Kenneth Waxman, MD Prof Corp

  • Specialist
  • Santa Barbara, CA
  • NPI 1548551450
  NPD (past) Authorized official

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1821068214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 COAST VILLAGE RD",
            "address_2": "492",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931082737",
            "telephone_number": "805-569-7316",
            "fax_number": "805-569-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054311",
            "telephone_number": "805-569-7316",
            "fax_number": "805-569-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G32872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Watson, LPT
• Thomas Downes Watson, M.D.
• Lindsey Watt
• Eric F Watts, D.C.
• Susan M. Wax, PHD
• Jason Michael Wayne
• Wesley Weaver
• Weber & Becker Dental Group
• Weber & Malek Dental Group
• Bayley Weber

• Specialist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.