Healthcare Provider Details

I. General information

NPI: 1619989019
Provider Name (Legal Business Name): CEDARS SURGERY CENTER, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 W PUEBLO ST
SANTA BARBARA CA
93105-3804
US

IV. Provider business mailing address

231 W PUEBLO ST
SANTA BARBARA CA
93105-3804
US

V. Phone/Fax

Practice location:
  • Phone: 805-898-2797
  • Fax: 805-682-1503
Mailing address:
  • Phone: 805-898-2797
  • Fax: 805-682-1503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number050000545
License Number StateCA

VIII. Authorized Official

Name: KEVIN G DAVIDSON
Title or Position: GENERAL PARTNER
Credential:
Phone: 805-324-9285