Healthcare Provider Details

I. General information

NPI: 1578040283
Provider Name (Legal Business Name): SANTA BARBARA NEPHROLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2428 CASTILLO ST STE A
SANTA BARBARA CA
93105-5308
US

IV. Provider business mailing address

PO BOX 1206
GOLETA CA
93116-1206
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-2541
  • Fax: 805-682-1429
Mailing address:
  • Phone: 805-964-3838
  • Fax: 805-683-3400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberG46420
License Number StateCA

VIII. Authorized Official

Name: DAROL D JOSEFF
Title or Position: PRESIDENT
Credential: MD
Phone: 805-689-5501