MEDICARE: DR. IRA J NADELL PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AU349	CA
2	237600000X	Audiologist-Hearing Aid Fitter	AU349	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023107521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRA J NADELL PH.D.

Provider Business Mailing Address
First Line	:	215 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3804
Country	:	US
Telephone Number	:	805-563-1134
Fax Number	:	805-563-8388

Provider Business Practice Location Address
First Line	:	215 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3804
Country	:	US
Telephone Number	:	805-563-1134
Fax Number	:	805-563-8388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	09/11/2025

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