Healthcare Provider Details

I. General information

NPI: 1598675522
Provider Name (Legal Business Name): RACHEL SICAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 W PUEBLO ST
SANTA BARBARA CA
93105-4310
US

IV. Provider business mailing address

1431 OCEAN AVE APT 517
SANTA MONICA CA
90401-2139
US

V. Phone/Fax

Practice location:
  • Phone: 805-898-3138
  • Fax:
Mailing address:
  • Phone: 631-413-7488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number648362
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95205837
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: