Healthcare Provider Details

I. General information

NPI: 1730138561
Provider Name (Legal Business Name): TRAVIS C HOLCOMBE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 S MAIN ST STE 201
SALINAS CA
93901-2292
US

IV. Provider business mailing address

1130 E MISSOURI AVE STE 180
PHOENIX AZ
85014-2736
US

V. Phone/Fax

Practice location:
  • Phone: 831-758-2746
  • Fax:
Mailing address:
  • Phone: 602-266-9066
  • Fax: 833-246-1002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number21129
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberC53209
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: