Healthcare Provider Details

I. General information

NPI: 1154240323
Provider Name (Legal Business Name): PRITHVI PANDE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 W PUEBLO ST STE 301B
SANTA BARBARA CA
93105-6211
US

IV. Provider business mailing address

504 W PUEBLO ST STE 301B
SANTA BARBARA CA
93105-6211
US

V. Phone/Fax

Practice location:
  • Phone: 555-555-5555
  • Fax:
Mailing address:
  • Phone: 858-205-9077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PRITHVI PANDE
Title or Position: OWNER
Credential: MD
Phone: 858-205-9077