Provider Demographics
NPI:1003852591
Name:REHABILITATION INSTITUTE AT SANTA BARBARA
Entity Type:Organization
Organization Name:REHABILITATION INSTITUTE AT SANTA BARBARA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS CHIEF FINANCIAL OF
Authorized Official - Prefix:MR
Authorized Official - First Name:D
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SILIC
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:805-687-7444
Mailing Address - Street 1:2415 DE LA VINA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3819
Mailing Address - Country:US
Mailing Address - Phone:805-687-7444
Mailing Address - Fax:805-687-3707
Practice Address - Street 1:2415 DE LA VINA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3819
Practice Address - Country:US
Practice Address - Phone:805-687-7444
Practice Address - Fax:805-687-3707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHSP30031GMedicaid
CAHSP30031GMedicaid