Provider Demographics
NPI:1164538856
Name:CARTER, SABRINA UNDERWOOD (MD)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:UNDERWOOD
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1919 STATE ST
Mailing Address - Street 2:STE 208
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2430
Mailing Address - Country:US
Mailing Address - Phone:805-563-8800
Mailing Address - Fax:805-563-8801
Practice Address - Street 1:1919 STATE ST
Practice Address - Street 2:#303
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8444
Practice Address - Country:US
Practice Address - Phone:888-350-2911
Practice Address - Fax:702-369-5827
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA776632080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A776630Medicaid
CABL445ZMedicare PIN