Healthcare Provider Details

I. General information

NPI: 1508721770
Provider Name (Legal Business Name): JASON E BOYATT MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W ARRELLAGA ST
SANTA BARBARA CA
93101-2987
US

IV. Provider business mailing address

101 W ARRELLAGA ST STE 5
SANTA BARBARA CA
93101-2987
US

V. Phone/Fax

Practice location:
  • Phone: 310-801-8829
  • Fax:
Mailing address:
  • Phone: 310-801-8829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON E BOYATT
Title or Position: CEO
Credential:
Phone: 310-801-8829