Individual provider Active NPI

Krystle Irvine, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Goleta, CA
National Provider Identifier
1912585100
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A181797 Issued in CA
Practice address
122 S Patterson Ave Ste 131
Goleta, CA 93111-4025
Phone
(805) 681-1777
Fax
(805) 683-2705
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A181797 CA Primary

Addresses

Primary practice location

122 S Patterson Ave Ste 131
Goleta, CA 93111-4025

Mailing address

122 S Patterson Ave Ste 131
Goleta, CA 93111-4025
Phone (805) 681-1777

Other practice location 1

51 Hitchcock Way
Santa Barbara, CA 93105-3101
Phone (805) 563-6180

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
I20250829003061 CA Practitioner - Family Practice 2961878269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

215 Pesetas LN
Santa Barbara, CA 93110-1416
Phone (805) 681-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181797CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Aug 8, 2025 Accepting new patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Aug 8, 2025 Accepting new patients

Locations

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

122 S Patterson Ave
Ste 131
Santa Barbara, CA 93111
Phone (805) 681-1777

51 Hitchcock Way
Santa Barbara, CA 93105
Phone (805) 563-6100

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1912585100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE STE 131",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931114025",
            "telephone_number": "805-681-1777",
            "fax_number": "805-683-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE STE 131",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931114025",
            "telephone_number": "805-681-1777",
            "fax_number": "805-683-2705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Hitchcock Way",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931053101",
            "country_code": "US",
            "telephone_number": "805-563-6180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "KRYSTLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A181797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.