Provider Demographics
NPI:1205832813
Name:VANMETER, THOMAS A (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:A
Last Name:VANMETER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 S PATTERSON AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2475
Mailing Address - Country:US
Mailing Address - Phone:805-964-1514
Mailing Address - Fax:805-964-0861
Practice Address - Street 1:334 S PATTERSON AVE
Practice Address - Street 2:STE 105
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2475
Practice Address - Country:US
Practice Address - Phone:805-964-1514
Practice Address - Fax:805-964-0861
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25370207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A253700Medicaid
CA00A253700Medicaid