Healthcare Provider Details

I. General information

NPI: 1023191822
Provider Name (Legal Business Name): SANTA BARBARA SURGERY CENTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 06/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3045 DE LA VINA ST
SANTA BARBARA CA
93105-3351
US

IV. Provider business mailing address

1921 STATE ST SUITE B
SANTA BARBARA CA
93101-2421
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-3226
  • Fax:
Mailing address:
  • Phone: 805-569-2176
  • Fax: 805-569-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number050000560
License Number StateCA

VIII. Authorized Official

Name: CHRISTI ANN CARLSON
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 805-569-2176