Healthcare Provider Details

I. General information

NPI: 1508506924
Provider Name (Legal Business Name): AARON COTTON-BETTERIDGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2954 STATE ST
SANTA BARBARA CA
93105-3418
US

IV. Provider business mailing address

961 MIRAMONTE DR APT 2
SANTA BARBARA CA
93109-1375
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-7411
  • Fax:
Mailing address:
  • Phone: 801-404-8978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number191400
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: