MEDICARE: STEPHEN S. KAMINSKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G82149	CA
2	2086S0102X	Surgical Critical Care Physician	G82149	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598728735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN S. KAMINSKI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 689
Second Line	:	PUEBLO AT BATH
City	:	SANTA BARBARA
State	:	CA
Zip	:	93102-0689
Country	:	US
Telephone Number	:	805-569-7451
Fax Number	:	805-569-7890

Provider Business Practice Location Address
First Line	:	320 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4311
Country	:	US
Telephone Number	:	805-569-7451
Fax Number	:	805-569-7890

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	12/14/2010

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