Healthcare Provider Details

I. General information

NPI: 1255751426
Provider Name (Legal Business Name): MATHEW THOMAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 BATH ST STE 113
SANTA BARBARA CA
93105-4339
US

IV. Provider business mailing address

939 VISTA DEL MAR PL APT 402
VENTURA CA
93001-3719
US

V. Phone/Fax

Practice location:
  • Phone: 805-560-8111
  • Fax:
Mailing address:
  • Phone: 415-823-4269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberA164230
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA164230
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: