Healthcare Provider Details

I. General information

NPI: 1316645245
Provider Name (Legal Business Name): NATASHA KHANNA FERGUSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W PUEBLO ST
SANTA BARBARA CA
93105-4353
US

IV. Provider business mailing address

1727 STATE ST UNIT 436
SANTA BARBARA CA
93101-2521
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-7464
  • Fax: 805-569-8358
Mailing address:
  • Phone: 805-637-6954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: