Provider Demographics
NPI:1689723272
Name:THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Entity Type:Organization
Organization Name:THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other - Org Name:UCSB RESCUE AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE DIRECTOR OF CONTROLS
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:FEATHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-893-7667
Mailing Address - Street 1:1212 SAASB
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-2003
Mailing Address - Country:US
Mailing Address - Phone:805-893-7757
Mailing Address - Fax:805-893-8063
Practice Address - Street 1:1212 SAASB
Practice Address - Street 2:UCSB
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-2003
Practice Address - Country:US
Practice Address - Phone:805-893-7757
Practice Address - Fax:805-893-8063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ72378ZMedicaid
CAZA402Medicare PIN