Healthcare Provider Details

I. General information

NPI: 1306910856
Provider Name (Legal Business Name): SANTA BARBARA PULMONARY AND CRITICAL CARE MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W PUEBLO ST
SANTA BARBARA CA
93105-4353
US

IV. Provider business mailing address

306 SANTA ROSA LN
SANTA BARBARA CA
93108-2136
US

V. Phone/Fax

Practice location:
  • Phone: 805-448-5508
  • Fax:
Mailing address:
  • Phone: 805-448-5508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG50207
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG50207
License Number StateCA

VIII. Authorized Official

Name: DR. JEFFREY CHARLES FRIED
Title or Position: PRESIDENT
Credential: MD
Phone: 805-448-5508