Healthcare Provider Details

I. General information

NPI: 1952887234
Provider Name (Legal Business Name): WILLIAM GANSKE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 S PATTERSON AVE STE 201
SANTA BARBARA CA
93111-2400
US

IV. Provider business mailing address

334 S PATTERSON AVE STE 201
SANTA BARBARA CA
93111-2400
US

V. Phone/Fax

Practice location:
  • Phone: 805-869-2773
  • Fax: 844-636-3664
Mailing address:
  • Phone: 805-869-2773
  • Fax: 844-636-3664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number167175
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number167175
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: