Healthcare Provider Details

I. General information

NPI: 1477496016
Provider Name (Legal Business Name): DAVID J VIERRA, MD MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

3045 DE LA VINA ST
SANTA BARBARA CA
93105-3351
US

IV. Provider business mailing address

201 SAN CLEMENTE ST
SANTA BARBARA CA
93109-2131
US

V. Phone/Fax

Practice location:
  • Phone: 805-455-4588
  • Fax: 888-282-6171
Mailing address:
  • Phone: 805-455-4588
  • Fax: 888-282-6171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID J VIERRA
Title or Position: ANESTHESIOLOGIST
Credential: MD
Phone: 805-455-4588