| Rehabilitation Medical Group | |
|
2415 De La Vina St Santa Barbara CA 93105-3819 | |
| (805) 687-7444 | |
| (805) 687-3707 |
| Full Name | Rehabilitation Medical Group |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2415 De La Vina St, Santa Barbara, California |
| Authorized Official Name and Position | Ross Barry (PRESIDENT) |
| Authorized Official Contact | 8055698922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehabilitation Medical Group Po Box 1206 Goleta CA 93116-1206 Ph: (805) 569-8922 | Rehabilitation Medical Group 2415 De La Vina St Santa Barbara CA 93105-3819 Ph: (805) 687-7444 |
| NPI Number | 1942248174 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1951473529 |
|---|---|
| Medicare Enrollment ID | O20090120000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942248174 | NPI | - | NPPES |
| 1942248174 | Medicaid | CA |
| Provider Name | Steven H Segerstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205876240 PECOS PAC ID: 7618928656 Enrollment ID: I20061030000275 |
| Provider Name | Sharon L Basham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104842541 PECOS PAC ID: 3971676230 Enrollment ID: I20100605000124 |
| Provider Name | Barry J Ross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588680060 PECOS PAC ID: 0345313607 Enrollment ID: I20100730000114 |
| Provider Name | Michelle A Withee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821219965 PECOS PAC ID: 8022176353 Enrollment ID: I20140905002066 |
| Provider Name | Michael Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528357217 PECOS PAC ID: 5991013799 Enrollment ID: I20150928002509 |
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