Individual provider Active NPI

Kara Elizabeth Georgiadis

  • Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1912427360
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54545 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
54545CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.