| Internal Medicine Associates Of Santa Barbara A Medical Group | |
|
2323 Dela Vina Suite 303 Santa Barbara CA 93105 | |
| (805) 563-0855 | |
| (805) 563-2806 |
| Full Name | Internal Medicine Associates Of Santa Barbara A Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2323 Dela Vina, Santa Barbara, California |
| Authorized Official Name and Position | Robert D Byers (PRESIDENT) |
| Authorized Official Contact | 8055630855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Santa Barbara A Medical Group 2323 Dela Vina Suite 303 Santa Barbara CA 93105 Ph: (805) 563-0855 | Internal Medicine Associates Of Santa Barbara A Medical Group 2323 Dela Vina Suite 303 Santa Barbara CA 93105 Ph: (805) 563-0855 |
| NPI Number | 1336213743 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 01/27/2020 |
| Medicare PECOS PAC ID | 4183748122 |
|---|---|
| Medicare Enrollment ID | O20100827000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336213743 | NPI | - | NPPES |
| 00G369570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G36957 (California) | Primary |
| Provider Name | Robert D Byers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891837480 PECOS PAC ID: 9830213859 Enrollment ID: I20100827000553 |
| Provider Name | Marisa Ann Cipolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366194342 PECOS PAC ID: 7719346394 Enrollment ID: I20230629001205 |
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