Healthcare Provider Details

I. General information

NPI: 1619871688
Provider Name (Legal Business Name): ZED REAGAN MD PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 LA BUENA TIERRA
SANTA BARBARA CA
93111-1741
US

IV. Provider business mailing address

710 LA BUENA TIERRA
SANTA BARBARA CA
93111-1741
US

V. Phone/Fax

Practice location:
  • Phone: 805-679-3881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ZED REAGAN
Title or Position: DOCTOR
Credential: MD
Phone: 805-679-3881