Healthcare Provider Details

I. General information

NPI: 1588284202
Provider Name (Legal Business Name): IBRAHIM MOHAMMAD FAISAL SABRI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5276 HOLLISTER AVE STE 103
SANTA BARBARA CA
93111-3051
US

IV. Provider business mailing address

5276 HOLLISTER AVE STE 103
SANTA BARBARA CA
93111-3051
US

V. Phone/Fax

Practice location:
  • Phone: 805-243-3347
  • Fax: 805-977-8167
Mailing address:
  • Phone: 805-243-3347
  • Fax: 805-977-8167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA208078
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA208078
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number80261
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: