Healthcare Provider Details

I. General information

NPI: 1336302231
Provider Name (Legal Business Name): MATTHEW ALAN PIFER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 HOLLISTER AVE STE 150
SANTA BARBARA CA
93111-2443
US

IV. Provider business mailing address

5333 HOLLISTER AVE STE 150
SANTA BARBARA CA
93111-2443
US

V. Phone/Fax

Practice location:
  • Phone: 805-967-9311
  • Fax: 805-681-9969
Mailing address:
  • Phone: 805-967-9311
  • Fax: 805-681-9969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA124936
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA124936
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: