Individual provider Active NPI

Tamir H Keshen, MD

  • Pediatric Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1831115054
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
G87958 Issued in CA
Practice address
2403 Castillo St
202
Santa Barbara, CA 93105-5316
Phone
(805) 563-6560
Fax
(805) 563-3680
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X G87958 CA Primary

Addresses

Primary practice location

2403 Castillo St
202
Santa Barbara, CA 93105-5316

Mailing address

2403 Castillo St
202
Santa Barbara, CA 93105-5316
Phone (805) 563-6560

Other practice location 1

1400 E Church St Bldg 8
Santa Maria, CA 93454-5906
Phone (805) 739-3561

Other practice location 2

1400 E Church St
Medical Staff Office
Santa Maria, CA 93454
Phone (805) 739-3112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G87958CAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Cottage Hospital Past Accepting new patients
The Regents of the University of California Pediatric Surgery Past Accepting new patients
County of Ventura Past Accepting new patients
Washington University PastSince Dec 19, 2009 Accepting new patients
Washington University Past Accepting new patients

Organizations & group practices 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1831115054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 CASTILLO ST",
            "address_2": "202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055316",
            "telephone_number": "805-563-6560",
            "fax_number": "805-563-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 CASTILLO ST",
            "address_2": "202",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055316",
            "telephone_number": "805-563-6560",
            "fax_number": "805-563-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Church St Bldg 8",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545906",
            "country_code": "US",
            "telephone_number": "805-739-3561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Church St",
            "address_2": "Medical Staff Office",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "93454",
            "country_code": "US",
            "telephone_number": "805-739-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESHEN",
        "first_name": "TAMIR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "G87958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.