MEDICARE: DR. MONICA WILLIAMS 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	207P00000X	Emergency Medicine Physician	161831	CA
2	207P00000X	Emergency Medicine Physician	26002	AL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	051542042	OTHER	AL	BCBS
4	7206624	OTHER	AL	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	051542041	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1790711513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA WILLIAMS MD

Provider Business Mailing Address
First Line	:	941 TORNOE RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-2228
Country	:	US
Telephone Number	:	256-520-1421
Fax Number	:	833-450-5261

Provider Business Practice Location Address
First Line	:	941 TORNOE RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-2228
Country	:	US
Telephone Number	:	256-520-1421
Fax Number	:	833-450-5261

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	04/11/2024

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