Jerold A Black in Santa Barbara - Pediatrics

Jerold A Black - NPI 1740394170

Jerold A Black is a Pediatrics in Santa Barbara, California. Jerold A Black practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jerold A Black is 1740394170. The last update date is 2014-07-23.

Jerold A Black's current location address is Po Box 62106, Santa Barbara, California. You can contact this provider via phone number 8056811761 and fax number 8056811768. The mailing address for Jerold A Black is Po Box 62106, Santa Barbara, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerold A Black
Address Po Box 62106, Santa Barbara, California
Phone Number 8056811761
Fax Number 8056811768
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1740394170
Provider Enumeration Date 2006-08-19
Last Updated Date 2014-07-23

Provider Mailing Address Detail

Address Po Box 62106
City Santa Barbara
State California (CA)
Post Code 931602106
Phone Number 8056811761
Fax Number 8056811768

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No A76157
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A761570 CA --

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FAQs about Jerold A Black

What is the Jerold A Black's unique identification number?

The Jerold A Black has been assigned the NPI (National Provider Identifier) Number 1740394170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Jerold A Black?

The Jerold A Black is situated at Po Box 62106, in the city of Santa Barbara, state of CA, with the zip code 931602106.

What is Jerold A Black's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerold A Black is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did Jerold A Black receive its 1740394170 assignment from the Centers for Medicare & Medicaid Services?

The Jerold A Black was assigned its 1740394170 on 2006-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jerold A Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerold A Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-23.

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