Healthcare Provider Details

I. General information

NPI: 1508084690
Provider Name (Legal Business Name): ADAM WARREN RIVES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 DE LA VINA ST STE 201
SANTA BARBARA CA
93105
US

IV. Provider business mailing address

2323 DE LA VINA ST STE 201
SANTA BARBARA CA
93105-3879
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-2267
  • Fax: 805-563-0970
Mailing address:
  • Phone: 805-682-2267
  • Fax: 805-687-3527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA120223
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberA120223
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: