MR. CHARLES ALAN BERGQUIST NPI 1093954505

NPI Information

  • NPI: 1093954505
  • Provider Name: MR. CHARLES ALAN BERGQUIST
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 712 N ALISOS ST
    SANTA BARBARA, CA
    ZIP 93103
  • Phone: (805) 962-5450

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NPI Details

MR. Charles Alan Bergquist is an addiction (substance use disorder) counselor in Santa Barbara, CA. MR. Charles Alan Bergquist NPI is 1093954505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

712 N ALISOS ST
SANTA BARBARA, CA
ZIP 93103-402
Phone: (805) 962-5450
Fax: (805) 963-1653

The enumeration date for this NPI number is 2/8/2009 and was last updated on 2/8/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 3/30/2025

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