Healthcare Provider Details

I. General information

NPI: 1821922352
Provider Name (Legal Business Name): CASITAS VALLEY MEDICINE, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 N PATTERSON AVE
SANTA BARBARA CA
93111-1107
US

IV. Provider business mailing address

855 N PATTERSON AVE
SANTA BARBARA CA
93111-1107
US

V. Phone/Fax

Practice location:
  • Phone: 805-836-2155
  • Fax:
Mailing address:
  • Phone: 310-985-4434
  • Fax: 805-840-4346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN HARRIS HWANG
Title or Position: DIRECTOR
Credential: DO
Phone: 805-836-2155