Healthcare Provider Details

I. General information

NPI: 1669735981
Provider Name (Legal Business Name): GABE DUDLEY PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 ANACAPA ST
SANTA BARBARA CA
93101-1909
US

IV. Provider business mailing address

601 E MICHELTORENA ST UNIT 13
SANTA BARBARA CA
93103-1985
US

V. Phone/Fax

Practice location:
  • Phone: 805-699-5183
  • Fax:
Mailing address:
  • Phone: 805-452-3597
  • Fax: 805-254-0076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number22323
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: