Provider Demographics
NPI:1164575536
Name:HRACH, BARBARA ANN (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:HRACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2420
Mailing Address - Country:US
Mailing Address - Phone:805-898-0500
Mailing Address - Fax:805-898-0501
Practice Address - Street 1:1824 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2420
Practice Address - Country:US
Practice Address - Phone:805-898-0500
Practice Address - Fax:805-898-0501
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA054570207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18339Medicare ID - Type UnspecifiedGROUP BILLING PROVIDER #
CAF66736Medicare UPIN
CAWA54570MMedicare PIN