Organization Active NPI

Santa Barbara Extremity MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Santa Barbara, CA
National Provider Identifier
1073801866
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
SANTA BARBARA EXTREMITY MRI, LLC
Practice address
2936 De la Vina St
Suite 205
Santa Barbara, CA 93105-3354
Phone
(805) 679-7593
Fax
(805) 879-9052
NPI assigned
Jul 14, 2011
Last updated
Jul 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Brennan P De Raad
Title
Director
Phone
(805) 679-7593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

2936 De la Vina St
Suite 205
Santa Barbara, CA 93105-3354

Mailing address

2927 De la Vina St
Suite a
Santa Barbara, CA 93105-3362
Phone (805) 679-7593

National Provider Directory

National Provider Directory

Locations

2936 De la Vina St
Ste 205
Santa Barbara, CA 93105
Phone (805) 679-7593

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1073801866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 DE LA VINA ST",
            "address_2": "SUITE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053362",
            "telephone_number": "805-679-7593",
            "fax_number": "805-879-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 DE LA VINA ST",
            "address_2": "SUITE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053354",
            "telephone_number": "805-679-7593",
            "fax_number": "805-879-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA EXTREMITY MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "DE RAAD",
        "authorized_official_first_name": "BRENNAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-679-7593"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "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 Jul 14, 2011; 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.