Provider Demographics
NPI:1790711513
Name:WILLIAMS, MONICA (MD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 TORNOE RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2228
Mailing Address - Country:US
Mailing Address - Phone:256-520-1421
Mailing Address - Fax:833-450-5261
Practice Address - Street 1:941 TORNOE RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2228
Practice Address - Country:US
Practice Address - Phone:256-520-1421
Practice Address - Fax:833-450-5261
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA161831207P00000X
AL26002207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009912016Medicaid
AL009912023Medicaid
AL051542042OtherBCBS
AL7206624OtherAETNA
AL009912014Medicaid
AL051542041OtherBCBS
AL051542042OtherBCBS
AL051542042Medicare PIN
AL051542041Medicare PIN
AL009912014Medicaid