Healthcare Provider Details

I. General information

NPI: 1326096785
Provider Name (Legal Business Name): WILLIAM MICHAEL PACE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2438 N PONDEROSA DR, STE C210 - C213
CAMARILLO CA
93010-2369
US

IV. Provider business mailing address

237 SALIDA DEL SOL
SANTA BARBARA CA
93109-2019
US

V. Phone/Fax

Practice location:
  • Phone: 805-971-1492
  • Fax: 805-301-1492
Mailing address:
  • Phone: 805-637-1313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberA54532
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: