Healthcare Provider Details

I. General information

NPI: 1518604214
Provider Name (Legal Business Name): MONIQUE FERRO BEZERRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W PUEBLO ST STE B
SANTA BARBARA CA
93105-3805
US

IV. Provider business mailing address

351 PASEO NUEVO FL 2
SANTA BARBARA CA
93101-3382
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-0363
  • Fax:
Mailing address:
  • Phone: 805-569-7315
  • Fax: 805-569-8358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number199959
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number199959
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number199959
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: