Provider Demographics
NPI:1114034485
Name:FURMAN-ALEX, NANCY (DO)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:FURMAN-ALEX
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:FURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 50302
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93150-0302
Mailing Address - Country:US
Mailing Address - Phone:626-676-8228
Mailing Address - Fax:
Practice Address - Street 1:735 STATE ST STE 407
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-5553
Practice Address - Country:US
Practice Address - Phone:805-845-2219
Practice Address - Fax:805-324-4258
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7883207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX78830Medicaid
CAW20A7883DMedicare PIN
CAW20A7883CMedicare PIN
CA00AX78830Medicaid