Provider Demographics
NPI:1912250440
Name:SANTORO, WILLIAM DOMINIC (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DOMINIC
Last Name:SANTORO
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 1:559 HOT SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-2036
Mailing Address - Country:US
Mailing Address - Phone:805-969-4897
Mailing Address - Fax:805-969-3259
Practice Address - Street 1:559 HOT SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-2036
Practice Address - Country:US
Practice Address - Phone:805-969-4897
Practice Address - Fax:805-969-3259
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67572084P0800X
HIMD69202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry