Individual provider Active NPI

Robert Anthony Kolarczyk, M.D.

  • Ophthalmology Physician
  • Santa Barbara, CA
National Provider Identifier
1922035559
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C41910 Issued in CA
Practice address
1801 State St
Suite C
Santa Barbara, CA 93101-2482
Phone
(805) 569-1000
Fax
(805) 569-1155
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C41910 CA Primary

Addresses

Primary practice location

1801 State St
Suite C
Santa Barbara, CA 93101-2482

Mailing address

1801 State St
Suite C
Santa Barbara, CA 93101-2482
Phone (805) 569-1000

Other identifiers 3

IdentifierTypeStateIssuer
00C419100OtherCABLUE SHIELD PROVIDER #
770160386OtherCACOMMERCIAL CARRIER ID #
00C419100OtherCACA MEDICAL PROVIDER #

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41910CAMDOptician
C41910CAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1922035559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 STATE ST",
            "address_2": "SUITE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012482",
            "telephone_number": "805-569-1000",
            "fax_number": "805-569-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 STATE ST",
            "address_2": "SUITE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012482",
            "telephone_number": "805-569-1000",
            "fax_number": "805-569-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLARCZYK",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C41910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "00C419100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL CARRIER ID #",
            "identifier": "770160386",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL PROVIDER #",
            "identifier": "00C419100",
            "state": "CA"
        }
    ],
    "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 Jul 12, 2023; 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.