Healthcare Provider Details

I. General information

NPI: 1386908341
Provider Name (Legal Business Name): JARED PERRIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2012
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5580 CALLE REAL
GOLETA CA
93111-1646
US

IV. Provider business mailing address

414 E COTA ST
SANTA BARBARA CA
93101-1624
US

V. Phone/Fax

Practice location:
  • Phone: 805-617-7878
  • Fax: 805-618-3157
Mailing address:
  • Phone: 805-617-7878
  • Fax: 805-618-3157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number56683
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA142654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: