Provider Demographics
NPI:1275951303
Name:SANTACROSE, BRIAN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DAVID
Last Name:SANTACROSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 E ARRELLAGA ST
Mailing Address - Street 2:SUITE 1 AND 2
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2531
Mailing Address - Country:US
Mailing Address - Phone:805-965-1095
Mailing Address - Fax:805-965-8905
Practice Address - Street 1:15 E ARRELLAGA ST
Practice Address - Street 2:SUITE 1 AND 2
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2531
Practice Address - Country:US
Practice Address - Phone:805-965-1095
Practice Address - Fax:805-965-8905
Is Sole Proprietor?:No
Enumeration Date:2014-04-05
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129655208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics