Healthcare Provider Details

I. General information

NPI: 1265547624
Provider Name (Legal Business Name): JASON E BOYATT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 VIBORG RD STE 205
SOLVANG CA
93463-3226
US

IV. Provider business mailing address

2030 VIBORG RD STE 205
SOLVANG CA
93463-3226
US

V. Phone/Fax

Practice location:
  • Phone: 805-686-8400
  • Fax: 805-688-0456
Mailing address:
  • Phone: 805-686-8400
  • Fax: 805-688-0456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA74267
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: