Healthcare Provider Details

I. General information

NPI: 1851708887
Provider Name (Legal Business Name): ADAM M BUHALOG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 W FIGUEROA ST STE 300
SANTA BARBARA CA
93101-3189
US

IV. Provider business mailing address

7 W FIGUEROA ST STE 300
SANTA BARBARA CA
93101-3189
US

V. Phone/Fax

Practice location:
  • Phone: 805-705-0847
  • Fax: 805-307-9307
Mailing address:
  • Phone: 805-705-0847
  • Fax: 805-307-9307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number62631-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA161240
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: