Provider Demographics
NPI:1043456650
Name:WILLIAM E. VOLLERO, M.D., INC.
Entity Type:Organization
Organization Name:WILLIAM E. VOLLERO, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:VOLLERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-969-7972
Mailing Address - Street 1:PO BOX 5224
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93150-5224
Mailing Address - Country:US
Mailing Address - Phone:805-969-7972
Mailing Address - Fax:805-969-7972
Practice Address - Street 1:130 MIDDLE RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-2456
Practice Address - Country:US
Practice Address - Phone:805-969-7972
Practice Address - Fax:805-969-7972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG28181261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1528182573Medicaid
CA1467471144OtherINDIVIDUAL NPI NUMBER
CA1528182573Medicaid
CA1467471144OtherINDIVIDUAL NPI NUMBER