Active NPI
Kara Elizabeth Georgiadis
- Physician Assistant
- Santa Barbara, CA
National Provider Identifier
1912427360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 54545
- Practice address
- 401 E Carrillo St
Santa Barbara, CA 93101-1460 - Phone
- (805) 563-3307
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 54545 | CA | Primary |
Addresses
Primary practice location
401 E Carrillo St
Santa Barbara, CA 93101-1460
Mailing address
401 E Carrillo St
Santa Barbara, CA 93101-1460
Other practice location 1
326 W Main St
Santa Maria, CA 93458-5070
Phone (805) 925-9997
Other practice location 2
640 S B St
Oxnard, CA 93030-7142
Phone (805) 485-7242
Other practice location 3
2725 16th St
Bakersfield, CA 93301-3355
Phone (661) 864-1150
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54545 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Medical Group of California, Inc | Physician Assistant | Past | Accepting new patients |
| Osf Medical Group of California, Inc. | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Santa Maria, CA
- NPI 1508269978
Physician Assistant
-
- Orthopaedic Surgery Physician
- Oxnard, CA
- NPI 1851794226
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1912427360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E CARRILLO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931011460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CARRILLO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931011460",
"telephone_number": "805-563-3307"
}
],
"practiceLocations": [
{
"address_1": "326 W Main St",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934585070",
"country_code": "US",
"telephone_number": "805-925-9997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "640 S B St",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930307142",
"country_code": "US",
"telephone_number": "805-485-7242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2725 16th St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933013355",
"country_code": "US",
"telephone_number": "661-864-1150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGIADIS",
"first_name": "KARA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "54545",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.