Provider Demographics
NPI:1053338970
Name:NEUROLOGY ASSOCIATES OF SANTA BARBARA
Entity type:Organization
Organization Name:NEUROLOGY ASSOCIATES OF SANTA BARBARA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:KRONBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-682-8153
Mailing Address - Street 1:219 NOGALES AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3848
Mailing Address - Country:US
Mailing Address - Phone:805-682-8153
Mailing Address - Fax:805-682-5585
Practice Address - Street 1:219 NOGALES AVE
Practice Address - Street 2:SUITE F
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3848
Practice Address - Country:US
Practice Address - Phone:805-682-8153
Practice Address - Fax:805-682-5585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0043540Medicaid
W11017Medicare ID - Type Unspecified