Provider Demographics
NPI:1790724771
Name:SANTA BARBARA OPEN MRI
Entity Type:Organization
Organization Name:SANTA BARBARA OPEN MRI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-455-7127
Mailing Address - Street 1:350 CHAPALA ST
Mailing Address - Street 2:#104
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-8053
Mailing Address - Country:US
Mailing Address - Phone:805-966-0877
Mailing Address - Fax:
Practice Address - Street 1:350 CHAPALA ST
Practice Address - Street 2:#104
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8053
Practice Address - Country:US
Practice Address - Phone:805-966-0877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ09034ZOtherBLUE SHIELD OF CALIFORNIA
CATG403Medicare ID - Type UnspecifiedCALIF PROVIDER NUMBER