Provider Demographics
NPI:1598871592
Name:NATHAN, SAMUEL ZEV (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:ZEV
Last Name:NATHAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2129
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93120-2129
Mailing Address - Country:US
Mailing Address - Phone:805-962-3530
Mailing Address - Fax:805-966-5500
Practice Address - Street 1:110 E DE LA GUERRA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2205
Practice Address - Country:US
Practice Address - Phone:805-962-3530
Practice Address - Fax:805-966-5500
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG 611492084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry