Active NPI
Kevin Christopher Osburn, M.D.
- Specialist
- Santa Barbara, CA
National Provider Identifier
1992779219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A O 42005
- Practice address
- 2320 Bath St
Suite 317
Santa Barbara, CA 93105-4339 - Phone
- (805) 682-7874
- Fax
- (805) 682-7875
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | A O 42005 | CA | Primary |
Addresses
Primary practice location
2320 Bath St
Suite 317
Santa Barbara, CA 93105-4339
Mailing address
2320 Bath St
Suite 317
Santa Barbara, CA 93105-4339
Phone (805) 682-7874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A O 42005 | Other | CA | CALIFORNIA LICENSE |
| 00A420050 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A O 42005 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology - Pacific, P.C. | Specialist | Past | Accepting new patients |
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.
-
- Dermatology Physician
- Thousand Oaks, CA
- NPI 1356535009
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1992779219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 BATH ST",
"address_2": "SUITE 317",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054339",
"telephone_number": "805-682-7874",
"fax_number": "805-682-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 BATH ST",
"address_2": "SUITE 317",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054339",
"telephone_number": "805-682-7874",
"fax_number": "805-682-7875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBURN",
"first_name": "KEVIN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A O 42005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "A O 42005",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A420050",
"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 Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.