Provider Demographics
NPI:1700944725
Name:MORRIS, PETER LORENZ (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:LORENZ
Last Name:MORRIS
Suffix:
Gender:M
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:PO BOX 25420
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93002-2277
Mailing Address - Country:US
Mailing Address - Phone:805-650-5910
Mailing Address - Fax:805-650-5972
Practice Address - Street 1:PUEBLO AT BATH
Practice Address - Street 2:SANTA BARBARA COTTAGE HOSPITAL
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93102
Practice Address - Country:US
Practice Address - Phone:805-569-7367
Practice Address - Fax:805-569-8354
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC359560207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA220006224OtherRAILROAD MEDICARE
CAZZZ42967ZOtherBLUE SHIELD
CA1356409379OtherGROUP NPI
CAGR0016631Medicaid
CAC359560OtherMEDICAL BOARD OF CA
A36120Medicare UPIN
CAHW8260Medicare PIN
CA220006224OtherRAILROAD MEDICARE