Healthcare Provider Details

I. General information

NPI: 1831511872
Provider Name (Legal Business Name): ELSA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2014
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 N SAN ANTONIO RD
SANTA BARBARA CA
93110-1399
US

IV. Provider business mailing address

429 N SAN ANTONIO RD
SANTA BARBARA CA
93110-1399
US

V. Phone/Fax

Practice location:
  • Phone: 805-315-2009
  • Fax: 805-884-1602
Mailing address:
  • Phone: 805-884-1600
  • Fax: 805-884-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: