MEDICARE: KATHLEEN MANALO PELIAS FNP-BC

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	363LF0000X	Family Nurse Practitioner	95029128	CA

General Provider Information

NPI Number	:	1447000138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN MANALO PELIAS FNP-BC

Provider Business Mailing Address
First Line	:	1328 HARMON ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-3519
Country	:	US
Telephone Number	:	661-593-8358
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 S A ST STE 1
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-9253
Country	:	US
Telephone Number	:	805-487-9150
Fax Number	:

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

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	02/18/2026

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Directions to “ KATHLEEN MANALO PELIAS FNP-BC” Practice Location

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