Healthcare Provider Details

I. General information

NPI: 1992068175
Provider Name (Legal Business Name): KARL ZATE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCSB STUDENT HEALTH BUILDING 588, M/C 7002
SANTA BARBARA CA
93106-1859
US

IV. Provider business mailing address

UCSB STUDENT HEALTH BUILDING 588, M/C 7002
SANTA BARBARA CA
93106-7002
US

V. Phone/Fax

Practice location:
  • Phone: 805-893-5339
  • Fax: 805-893-3861
Mailing address:
  • Phone: 805-893-5339
  • Fax: 805-893-3861

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 Code2084P0800X
TaxonomyPsychiatry Physician
License Number272415
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: