MEDICARE: SANTA BARBARA COUNTY PUBLIC HEALTH DEPT

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	261QP2000X	Physical Therapy Clinic/Center		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	:	1306945191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA BARBARA COUNTY PUBLIC HEALTH DEPT

Provider Business Mailing Address
First Line	:	1111 CHAPALA ST
Second Line	:	SUITE 200
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-3100
Country	:	US
Telephone Number	:	805-681-5133
Fax Number	:	805-681-4763

Provider Business Practice Location Address
First Line	:	601 W ALVIN AVE
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93458-3012
Country	:	US
Telephone Number	:	805-928-0662
Fax Number	:	805-739-0430

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	ELIZABETH KASEHAGEN
Credential	:	RN, PHN
Telephone Number	:	805-681-5133

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	08/22/2020

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