Healthcare Provider Details

I. General information

NPI: 1992880033
Provider Name (Legal Business Name): NATASHA MARIE MARSTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 W PUEBLO ST FL 2
SANTA BARBARA CA
93105-3892
US

IV. Provider business mailing address

235 W PUEBLO ST FL 2
SANTA BARBARA CA
93105-3892
US

V. Phone/Fax

Practice location:
  • Phone: 805-617-0049
  • Fax: 805-845-0840
Mailing address:
  • Phone: 805-964-3838
  • Fax: 805-683-3400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberA89148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: