=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477496016
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DAVID J VIERRA, MD MEDICAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2026
-----------------------------------------------------
Last Update Date | 04/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3045 DE LA VINA ST
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93105-3351
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-455-4588
-----------------------------------------------------
Fax | 888-282-6171
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 201 SAN CLEMENTE ST
-----------------------------------------------------
City | SANTA BARBARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93109-2131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-455-4588
-----------------------------------------------------
Fax | 888-282-6171
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ANESTHESIOLOGIST
-----------------------------------------------------
Name | DAVID J VIERRA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 805-455-4588
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------