Healthcare Provider Details

I. General information

NPI: 1285435388
Provider Name (Legal Business Name): ALIREZA SHARIFZADEH
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 STATE ST STE 7
SANTA BARBARA CA
93101-2799
US

IV. Provider business mailing address

1114 STATE ST STE 7
SANTA BARBARA CA
93101-2799
US

V. Phone/Fax

Practice location:
  • Phone: 805-899-1240
  • Fax:
Mailing address:
  • Phone: 805-899-1240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT36242-TLG
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: