Healthcare Provider Details

I. General information

NPI: 1184537045
Provider Name (Legal Business Name): AMBER MARIE PHILLIPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 OLIVE ST
SANTA BARBARA CA
93101-1406
US

IV. Provider business mailing address

20147 DOROTHY ST
SANTA CLARITA CA
91351-3805
US

V. Phone/Fax

Practice location:
  • Phone: 805-963-1086
  • Fax:
Mailing address:
  • Phone: 661-904-2142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95452118
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: