NPIMap

Organization Active NPI

Santa Barbara Dermatology Inc

  • Dermatology Physician
  • Santa Barbara, CA
National Provider Identifier
1053586057
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A7371 Issued in CA
Legal business name
SANTA BARBARA DERMATOLOGY INC
Practice address
105 W Mission St
Santa Barbara, CA 93101-2899
Phone
(805) 569-6881
NPI assigned
Apr 29, 2008
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Patricia Stewart, D.O
Title
Owner
Phone
(805) 569-6881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A7371 CA Primary

Addresses

Primary practice location

105 W Mission St
Santa Barbara, CA 93101-2899

Mailing address

105 W Mission St
Santa Barbara, CA 93101-2899
Phone (805) 569-6881

National Provider Directory

National Provider Directory

Locations

1525 State St
Ste 101
Santa Barbara, CA 93101
Phone 805884400210

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1053586057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MISSION ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012899",
            "telephone_number": "805-569-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MISSION ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012899",
            "telephone_number": "805-569-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-569-6881",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A7371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.