Healthcare Provider Details

I. General information

NPI: 1902689482
Provider Name (Legal Business Name): CLAIRE ALEXIS MASTERSON MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W ISLAY ST APT B
SANTA BARBARA CA
93101-5810
US

IV. Provider business mailing address

224 W ISLAY ST APT B
SANTA BARBARA CA
93101-5810
US

V. Phone/Fax

Practice location:
  • Phone: 714-328-0086
  • Fax:
Mailing address:
  • Phone: 714-328-0086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGEN-511
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC002097
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: