Healthcare Provider Details

I. General information

NPI: 1407091010
Provider Name (Legal Business Name): AMIR-MOHAMMAD JALILIAN-NOSRATY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2008
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 S. PATTERSON AVE. STE. 200
GOLETA CA
93111-2404
US

IV. Provider business mailing address

PO BOX 689
SANTA BARBARA CA
93102-0689
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-6424
  • Fax: 805-749-2961
Mailing address:
  • Phone: 805-682-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA143284
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: