Healthcare Provider Details

I. General information

NPI: 1487104758
Provider Name (Legal Business Name): MICHELLE LEIGH SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1424 MADERA RD
SIMI VALLEY CA
93065-3053
US

IV. Provider business mailing address

400 W PUEBLO ST
SANTA BARBARA CA
93105-4353
US

V. Phone/Fax

Practice location:
  • Phone: 805-522-5722
  • Fax:
Mailing address:
  • Phone: 805-682-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP125520
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95019516
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP125520
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: