MEDICARE: DARREN LIPSHITZ MD

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	207Q00000X	Family Medicine Physician	A65353	CA
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	A65353	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	:	1528057130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARREN LIPSHITZ MD

Provider Business Mailing Address
First Line	:	2609 MURRELL RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93109-1879
Country	:	US
Telephone Number	:	415-990-4888
Fax Number	:

Provider Business Practice Location Address
First Line	:	2609 MURRELL RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93109-1879
Country	:	US
Telephone Number	:	415-990-4888
Fax Number	:

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	03/12/2021

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