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CALIFORNIA RETINA CONSULTANTS NPI 1386737617


NPI Information

NPI: 1386737617
Provider Name: CALIFORNIA RETINA CONSULTANTS

Doing Business As: CALIFORNIA RETINA CONSULTANTS, A PROFESSIONAL MEDICAL CORPORATION

Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
525 E MICHELTORENA ST
SUITE A
SANTA BARBARA, CA
ZIP 93103
Phone: (805) 963-1648
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CALIFORNIA RETINA CONSULTANTS is a retina specialist ophthalmology in Santa Barbara, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. CALIFORNIA RETINA CONSULTANTS NPI is 1386737617. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Retina Consultants, A Professional Medical Corporation.

The provider's business location address is:

525 E MICHELTORENA ST
SUITE A
SANTA BARBARA, CA
ZIP 93103-254
Phone: (805) 963-1648
Fax: (805) 965-5214

The provider's authorized official is Paul Andre Degrow .
The authorized official title is C.o.o. and has the following contact phone number (805) 966-7085.

The enumeration date for this NPI number is 9/30/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2207WX0107XOphthalmologyRetina SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ60751ZOTHERCALIFORNIABLUE SHIELD GROUP #
2GR0087480MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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