Healthcare Provider Details

I. General information

NPI: 1124152293
Provider Name (Legal Business Name): SANTA BARBARA ORTHOPEDIC ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 BATH ST
SANTA BARBARA CA
93105-4330
US

IV. Provider business mailing address

2428 CASTILLO ST STE E
SANTA BARBARA CA
93105-5312
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-7801
  • Fax: 805-569-5861
Mailing address:
  • Phone: 805-682-7801
  • Fax: 805-569-5861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA21098
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG47385
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG73901
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA65716
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA83334
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberG51723
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA15590
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberP65360
License Number StateCA
# 10
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number530266
License Number StateCA

VIII. Authorized Official

Name: RICHARD DALY KAHMANN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 805-682-7801