Individual provider Active NPI

Kathleen J. Zisser, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Santa Barbara, CA
National Provider Identifier
1881791473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G73260 Issued in CA
Practice address
2417 Castillo St
Santa Barbara, CA 93105-4301
Phone
(805) 569-1947
Fax
(805) 569-8772
NPI assigned
Sep 17, 2006
Sex
Female
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
Physical Medicine & Rehabilitation Physician 208100000X G73260 CA Primary

Addresses

Primary practice location

2417 Castillo St
Santa Barbara, CA 93105-4301

Mailing address

2417 Castillo St
Santa Barbara, CA 93105-4301
Phone (805) 569-1947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2021 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G73260CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Physical Medicine and Rehabilitation Medical Group Inc. Physical Medicine & Rehabilitation Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17346/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881791473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 CASTILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054301",
            "telephone_number": "805-569-1947",
            "fax_number": "805-569-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 CASTILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054301",
            "telephone_number": "805-569-1947",
            "fax_number": "805-569-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISSER",
        "first_name": "KATHLEEN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G73260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.