Healthcare Provider Details

I. General information

NPI: 1124875406
Provider Name (Legal Business Name): NOMITA PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 STATE ST STE 3
SANTA BARBARA CA
93105-5101
US

IV. Provider business mailing address

2700 N VENTURA RD APT 306
OXNARD CA
93036-2295
US

V. Phone/Fax

Practice location:
  • Phone: 805-687-8378
  • Fax:
Mailing address:
  • Phone: 856-952-8839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP028579
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: