Provider Demographics
NPI:1285839969
Name:SANTA YNEZ VALLEY MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:SANTA YNEZ VALLEY MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:HERINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-688-2600
Mailing Address - Street 1:2030 VIBORG RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-2220
Mailing Address - Country:US
Mailing Address - Phone:805-688-2600
Mailing Address - Fax:805-693-4119
Practice Address - Street 1:2030 VIBORG RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2220
Practice Address - Country:US
Practice Address - Phone:805-688-2600
Practice Address - Fax:805-693-8109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW14642Medicare ID - Type Unspecified