Individual provider Active NPI

Jonathan Patrick Coll, M.D.

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1679803977
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A 98153 Issued in CA
Practice address
902 W Pedregosa St
Apt a
Santa Barbara, CA 93101-4622
Phone
(805) 708-7976
NPI assigned
Jan 8, 2010
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A 98153 CA Primary
Diagnostic Radiology Physician 2085R0202X 036-129682 IL

Addresses

Primary practice location

902 W Pedregosa St
Apt a
Santa Barbara, CA 93101-4622

Mailing address

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1550

Other practice location 1

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (708) 684-5503

Other practice location 2

2801 Atlantic Ave
Long Beach, CA 90806
Phone (562) 933-1550

Other practice location 3

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7000

Other practice location 4

310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone (856) 935-1000

Other practice location 5

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6764

Other practice location 6

1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone (814) 278-3280

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation
Direct Messaging Address jonathan.coll@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, OH, HI, NJ, LA, IL, AZ, AR, TX, AL, PA12 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20101025001058 CA Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 60 organizations
I20160308000609 NV Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 2 organizations
I20160914002684 OH Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 2 organizations
I20190617002305 HI Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 2 organizations
I20191114000329 NJ Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 3 organizations
I20210302003042 LA Practitioner - Diagnostic Radiology 3779776539
I20210913000630 IL Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 2 organizations
I20231108003677 AZ Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 3 organizations
I20231109001042 AR Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 2 organizations
I20240803000043 TX Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 1 organization
I20250306002665 AL Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 1 organization
I20250409001362 PA Practitioner - Diagnostic Radiology 3779776539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wright State University Boonshoft School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians
County of MontereyGroup PAC ID 2466345632, 186 clinicians
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
Kennewick Radiology Group PCGroup PAC ID 9335230549, 34 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians
Universal Radiology Partners of NevadaGroup PAC ID 5799295259, 71 clinicians
Contemporary Diagnostic Imaging LLCGroup PAC ID 1850510470, 40 clinicians
Placerville Radiology Medical Group IncGroup PAC ID 0143382374, 62 clinicians
NRHS Radiology AssociatesGroup PAC ID 2668555731, 61 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
Radx Imaging Partners IncGroup PAC ID 5698113041, 46 clinicians
Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians
I V Radiology Medical GroupGroup PAC ID 7517952310, 27 clinicians
Radiology Associates of Wichita Falls PAGroup PAC ID 7911007851, 54 clinicians
X-Ray Associates of Louisville PSCGroup PAC ID 9436146818, 55 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
West Valley Radiology Medical Group IncGroup PAC ID 1658266622, 42 clinicians
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians
Rockford Radiology AssocGroup PAC ID 1254330749, 43 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1100 N Tustin Ave
Suite a
Santa Ana, CA 92705-3509
Phone (714) 835-6055

11001 Executive Ctr Dr
Suite 200 C
Little Rock, AR 72211-4348
Phone (501) 812-7587

1270 Natividad Rd
Salinas, CA 93906-3144

1270 Natividad Rd
146.38
Salinas, CA 93906-3198

14050 Collins Ranch PL
San Diego, CA 92130-5572
Phone (877) 406-2916

1441 Constitution Blvd
Salinas, CA 93906-3100

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6010

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1554

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

360 S Lola LN
Pahrump, NV 89048-0884
Phone (775) 751-7500

55 Meadowlands Pkwy
Suite 200
Secaucus, NJ 07094-2977
Phone (201) 392-3100

6678 Monterra TRL
San Diego, CA 92130-1356
Phone (858) 546-3800

798 Centerton Rd
Pittsgrove, NJ 08318-3945
Phone (856) 358-6161

8070 Entrada de Luz E
San Diego, CA 92127-2561
Phone (714) 721-8943

808 Brook Ave
Wichita Falls, TX 76301-4209
Phone (940) 766-0217

841 43Rd St
Sacramento, CA 95819-3401
Phone (815) 395-5240

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

8835 Germantown Ave
Phila, PA 19118-2718
Phone (215) 707-2098

PO Box
Suite 80007
Salinas, CA 93912

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (60 of 118)

OrganizationSpecialtyStatusNew patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
County of Monterey Behavioral Health CurrentSince Oct 13, 2022 Accepting new patients
Diagnostic Radiologists PC Diagnostic Radiology CurrentSince Mar 25, 2024 Accepting new patients
Salinas Valley Radiologists, Inc. Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Campbell County Hospital District CurrentSince Nov 15, 2024 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Sep 27, 2023 Accepting new patients
Kennewick Radiology Group, PC Diagnostic Radiology Current Accepting new patients
Menalam Health Services PC CurrentSince Jan 1, 2026 Accepting new patients
NRHS Radiology Associates Diagnostic Radiology CurrentSince Nov 17, 2022 Accepting new patients
Insight Chicago, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Hampton Roads Radiology Associates, PC Body Imaging CurrentSince Oct 13, 2024 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Beverly Radiology Medical Group Diagnostic Radiology CurrentSince Aug 30, 2021 Accepting new patients
Memorialcare Medical Foundation CurrentSince Dec 20, 2025 Accepting new patients
County of Monterey CurrentSince Oct 13, 2022 Accepting new patients
Charlottesville Radiology LTD Diagnostic Radiology CurrentSince May 5, 2024 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Nov 4, 2023 Accepting new patients
Insight Foundation of Trumbull Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
West Valley Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Oct 28, 2017 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Nov 1, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Current Accepting new patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Kennewick Radiology Group, PC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Turlock Imaging Services, LLC CurrentSince Jun 1, 2022 Accepting new patients
County of Los Angeles CurrentSince Mar 1, 2015 Accepting new patients
Contemporary Diagnostic Imaging, LLC CurrentSince Sep 24, 2019 Accepting new patients
Centre Diagnostic Imaging, PC Body Imaging CurrentSince Sep 1, 2022 Accepting new patients
Redwood Radiology Group Inc Diagnostic Radiology CurrentSince Dec 3, 2019 Accepting new patients
Radiology Associates of Wichita Falls PA Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Apr 22, 2019 Accepting new patients
Radx Imaging Partners Inc Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Feb 6, 2025 Accepting new patients
County of San Joaquin CurrentSince Feb 1, 2017 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Mar 1, 2022 Accepting new patients
San Antonio Radiological Medical Diagnostic Radiology CurrentSince Jun 15, 2025 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Jun 20, 2024 Accepting new patients
Cigna Health Care of Arizona Inc Current Accepting new patients
Valley Physician Services PC CurrentSince Feb 9, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Nov 1, 2024 Accepting new patients
Cigna Healthcare of Arizona, Inc CurrentSince Sep 27, 2023 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 30, 2021 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jan 27, 2024 Accepting new patients
San Joaquin Community Hospital CurrentSince Nov 1, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince May 1, 2023 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Aug 30, 2021 Accepting new patients
Universal Radiology Partners of Nevada LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2020 Accepting new patients
Golding Radiology, LTD Diagnostic Radiology CurrentSince Feb 1, 2016 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Nov 1, 2024 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Dec 17, 2016 Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Aug 11, 2014 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology CurrentSince Jun 19, 2019 Accepting new patients
Kennewick Radiology Group PC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Aug 30, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients

Locations (25 of 151)

401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807
Phone (714) 257-6170

8078 E Santa Ana Canyon Rd
Anaheim, CA 92808
Phone (714) 974-2900

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

2301 Bahamas Dr
Bakersfield, CA 93309

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: jcoll155082@direct.whhs.com
  • Direct secure messaging: jcoll80906@scrippshlth.medalliesdirect.net
  • Direct secure messaging: jonathan.coll.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: jonathan.coll@direct.usc.edu

Organizations & group practices 130

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 130

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1679803977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-1550",
            "fax_number": "562-933-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W PEDREGOSA ST",
            "address_2": "APT A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931014622",
            "telephone_number": "805-708-7976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532600",
            "country_code": "US",
            "telephone_number": "708-684-5503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90806",
            "country_code": "US",
            "telephone_number": "562-933-1550",
            "fax_number": "562-933-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Martha Jefferson Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229114668",
            "country_code": "US",
            "telephone_number": "434-654-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-935-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6764",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Old Gatesburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLL",
        "first_name": "JONATHAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A 98153",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-129682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.coll@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1520 San Pablo St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.