CHRYSALIS HEALTH OF CALIFORNIA (NPI# 1407324379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407324379 |
| Entity Type | Organization |
| Organization Name | CHRYSALIS HEALTH OF CALIFORNIA |
| Practice Address |
4592 Camino Del Mirasol Santa Barbara CA 93110-1003 |
| Mailing Address |
386 Park Ave S Fl 5 New York NY 10016-8804 |
| Practice Telephone | 4243349213 |
| Mailing Telephone | 4243349213 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | MARINA TARASOVA (COO) |
| Authorized Official Telephone | 8478096796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1104823954 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CHRYSALIS HEALTH OF CALIFORNIA, P.C. | 4592 Camino Del Mirasol, Santa Barbera, CA 93110 |
| Street Address |
4592 CAMINO DEL MIRASOL |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93110-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408240 | Chrysalis Health of Texas, Pa | Internal Medicine | 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287431 | Rosanne M. Marquis | Technician | 4131 Creviente Drive, Santa Barbara, CA 93110 | 2019-10-22 |
| 1467961722 | Chris Latham | Nutritionist | 4760 Amarosa Street, Santa Barbara, CA 93110 | 2017-09-29 |
| 1770030330 | Laurence Seguin-brault | Social Worker | 66 South Anttonio Road, Santa Barbara, CA 93110 | 2016-09-01 |
| 1891142626 | Patricia Hurtado | Peer Specialist | 66 S San Antonio Road, Santa Barbara, CA 93110 | 2016-05-23 |
| 1023494945 | Santa Barbara County Alcogol, Drug & Mental Health Services | Social Worker | 66 S. San Antonio Road, Santa Barbara, CA 93110 | 2015-08-03 |
| 1225382088 | Terry Gostow | Speech-Language Pathologist | 333 Old Mill Road, #314, Santa Barbara, CA 93110 | 2012-11-01 |
| 1184914020 | Matt Traube | Marriage & Family Therapist | 3953 Carol Ave, Santa Barbara, CA 93110 | 2011-04-12 |
| 1679715270 | Abundant Care IIi | Assisted Living Facility | 4589 Anhay Dr, Santa Barbara, CA 93110 | 2009-03-27 |
| 1508052333 | Chadler R Burgoyne | Orthopaedic Surgery | Sansum Orthopedic Clinic, 4151 Foothill Rd - Bldg A, Santa Barbara, CA 93110 | 2007-09-14 |
| 1689878894 | Jill Louise Daugherty | Counselor | Admhs, Santa Barbara, CA 93110 | 2007-06-12 |
| Find all providers in zip 93110 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790910677 | Karen Hougo | Internal Medicine | 509 Lado Dr, Santa Barbara, CA 93111-1519 | 2009-05-21 |
| 1104823954 | Jennifer Hone | Internal Medicine | 345 Camino Del Remedio, Santa Barbara, CA 93110-1332 | 2005-07-07 |
| 1972135564 | Sansum Diabetes Research Institute | Internal Medicine | 2219 Bath St, Santa Barbara, CA 93105-4321 | 2020-02-11 |
| 1215408240 | Chrysalis Health of Texas, Pa | Internal Medicine | 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 | 2018-12-17 |
| 1710470703 | Mark D Wilson, Md Inc | Internal Medicine | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2018-06-13 |
| 1255688560 | Kateryna Markova | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2012-08-07 |
| 1932424702 | Sylvia Cristina Rivera | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2010-04-05 |
| 1013146364 | Ashley Thorsell | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110 | 2009-07-08 |
| 1710126388 | Muhammad Salman Ul Haq | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2009-02-05 |
| 1902819782 | Mark D Wilson | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2006-08-14 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93110 |
Please comment or provide details below to improve the information on CHRYSALIS HEALTH OF CALIFORNIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.