Healthcare Provider Details

I. General information

NPI: 1265492508
Provider Name (Legal Business Name): JOHN ANDREW HORTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 03/25/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5266 HOLLISTER AVE STE 327
SANTA BARBARA CA
93111-2084
US

IV. Provider business mailing address

1187 COAST VILLAGE RD STE 1-360
SANTA BARBARA CA
93108-2737
US

V. Phone/Fax

Practice location:
  • Phone: 805-203-0717
  • Fax: 805-830-0394
Mailing address:
  • Phone: 805-701-1117
  • Fax: 805-830-0394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number21176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: