MEDICARE: AUDIOLOGIC ASSOCIATES OF SANTA BARBARA

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	237600000X	Audiologist-Hearing Aid Fitter	AU325	CA
2	237600000X	Audiologist-Hearing Aid Fitter	9804	CA

General Provider Information

NPI Number	:	1427108117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDIOLOGIC ASSOCIATES OF SANTA BARBARA

Provider Business Mailing Address
First Line	:	215 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3804
Country	:	US
Telephone Number	:	805-563-1134
Fax Number	:	805-563-8388

Provider Business Practice Location Address
First Line	:	215 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3804
Country	:	US
Telephone Number	:	808-563-1134
Fax Number	:	805-563-8388

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	NAINA BALLACHANDA
Credential	:
Telephone Number	:	505-821-6715

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	03/10/2015

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