Individual provider Active NPI

Siranush Sara Yegiyants, MD

  • Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1871712232
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A96041 Issued in CA
Practice address
2419 Castillo St
Santa Barbara, CA 93105-4301
Phone
(805) 682-1731
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A96041 CA Primary

Addresses

Primary practice location

2419 Castillo St
Santa Barbara, CA 93105-4301

Mailing address

2419 Castillo St
Santa Barbara, CA 93105-4301

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
I20131003000267 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3678707783 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96041CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Jan 1, 2021 Accepting new patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Jan 1, 2021 Accepting new patients
Arthritis Institute of Santa Barbara PastSince Mar 21, 2021 Accepting new patients

Locations

540 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 563-5800

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

Organizations & group practices 4

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1871712232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 CASTILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 CASTILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054301",
            "telephone_number": "805-682-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGIYANTS",
        "first_name": "SIRANUSH",
        "middle_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A96041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.