Healthcare Provider Details

I. General information

NPI: 1619130556
Provider Name (Legal Business Name): ERIN NICOLE BERRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN NICOLE BERRY-BIBEE

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 GARDEN ST
SANTA BARBARA CA
93101-1696
US

IV. Provider business mailing address

518 GARDEN ST
SANTA BARBARA CA
93101-1696
US

V. Phone/Fax

Practice location:
  • Phone: 888-889-3806
  • Fax: 805-965-2292
Mailing address:
  • Phone: 888-889-3806
  • Fax: 805-965-2292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC199079
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number67276
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number60871643
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberM-15880
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: