MEDICARE: PAUL KOVACS

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	373H00000X	Day Training/Habilitation Specialist	1538970793	CA
2	172V00000X	Community Health Worker
3	106H00000X	Marriage & Family Therapist	161003	CA

General Provider Information

NPI Number	:	1538970793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL KOVACS

Provider Business Mailing Address
First Line	:	1709 SAN PASCUAL ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-4018
Country	:	US
Telephone Number	:	805-570-2026
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 E CARRILLO ST STE A
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-1410
Country	:	US
Telephone Number	:	805-666-2053
Fax Number	:

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

Provider Enumeration Date	:	01/16/2025
Last Update Date	:	02/18/2026

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