Provider Demographics
NPI:1972544880
Name:BAJOR, OLIVIA M (DO)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:M
Last Name:BAJOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 62106
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93160-2106
Mailing Address - Country:US
Mailing Address - Phone:805-688-1760
Mailing Address - Fax:805-688-1768
Practice Address - Street 1:122 S PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2055
Practice Address - Country:US
Practice Address - Phone:805-681-1777
Practice Address - Fax:805-683-2705
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8508207R00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX85080Medicaid
CAP00123247OtherRAILROAD
CAP00123247OtherRAILROAD
CAI11059Medicare UPIN