KENNETH WAXMAN MD PROF CORP NPI 1548551450

NPI Information

  • NPI: 1548551450
  • Provider Name: KENNETH WAXMAN, MD PROF CORP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1187 COAST VILLAGE RD
    #492
    SANTA BARBARA, CA
    ZIP 93108
  • Phone: (805) 565-9863

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NPI Details

KENNETH WAXMAN, MD PROF CORP is a specialist in Santa Barbara, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KENNETH WAXMAN, MD PROF CORP NPI is 1548551450. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1187 COAST VILLAGE RD
#492
SANTA BARBARA, CA
ZIP 93108-737
Phone: (805) 565-9863

The provider's authorized official is Kenneth Waxman .
The authorized official title is President and has the following contact phone number (805) 565-9863.

The enumeration date for this NPI number is 4/26/2011 and was last updated on 4/26/2011.

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
1174400000XSpecialistG328720CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A45325MEDICARE UPINCALIFORNIA

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: 11/21/2025

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