Healthcare Provider Details

I. General information

NPI: 1902210693
Provider Name (Legal Business Name): JONATHAN MATZKIN-BRIDGER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2014
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 STATE ST STE 515
SANTA BARBARA CA
93101-5554
US

IV. Provider business mailing address

735 STATE ST STE 515
SANTA BARBARA CA
93101-5554
US

V. Phone/Fax

Practice location:
  • Phone: 805-628-2418
  • Fax:
Mailing address:
  • Phone: 805-628-2418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE5364
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: