Provider Demographics
NPI:1285652420
Name:SANTA BARBAARA COUNTY PUBLIC HEALTH DEPT
Entity Type:Organization
Organization Name:SANTA BARBAARA COUNTY PUBLIC HEALTH DEPT
Other - Org Name:PHYSICIANS' MEDICAL GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-681-5252
Mailing Address - Street 1:300 N SAN ANTONIO RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1316
Mailing Address - Country:US
Mailing Address - Phone:805-681-5461
Mailing Address - Fax:805-681-5200
Practice Address - Street 1:1136 E MONTECITO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2635
Practice Address - Country:US
Practice Address - Phone:805-568-2036
Practice Address - Fax:805-568-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP294254363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP294254OtherNURSE PRACTITIONER LICENS
CARN202629OtherREGISTERED NURSING LICENS
CAMC1353527OtherDEA REGISTRATION