Leila R Clark (NPI# 1720337587, PAC ID# 0244482446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1720337587 |
| PAC ID by PECOS | 0244482446 |
| Professional Enrollment ID | I20121217000210 |
| Full Name | Leila R Clark |
| Organization Legal Name | COASTAL CALIFORNIA COSMETIC, RECONSTRUCTIVE AND HAND SURGERY |
| Address |
427 W Pueblo St Suite A Santa Barbara CA 93105-6206 |
| Phone Number | 8056877336 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7113173766 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050516 | MERCY SAN JUAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 427 W Pueblo St, Suite A, Santa Barbara, CA 93105-6206 | 8056877336 | COASTAL CALIFORNIA COSMETIC, RECONSTRUCTIVE AND HAND SURGERY |
| 427 W Pueblo St, Santa Barbara, CA 93105-6206 | 8056877336 | COASTAL CALIFORNIA COSMETIC, RECONSTRUCTIVE AND HAND SURGERY |
| Organization Legal Name | COASTAL CALIFORNIA COSMETIC, RECONSTRUCTIVE AND HAND SURGERY |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie E Irvine | Otolaryngology | Coastal California Cosmetic, Reconstructive and Hand Surgery | 222 W Pueblo St, Suite A, Santa Barbara, CA 93105-3805 |
| Wesley G Schooler | Plastic and Reconstructive Surgery | Coastal California Cosmetic, Reconstructive and Hand Surgery | 222 W Pueblo St, Suite A, Santa Barbara, CA 93105-3805 |
| Wendy S Brunet | Nurse Practitioner | Coastal California Cosmetic, Reconstructive and Hand Surgery | 222 W Pueblo St, Suite A, Santa Barbara, CA 93105-3805 |
| Street Address |
427 W PUEBLO ST SUITE A |
| City | SANTA BARBARA |
| State | CA |
| Zip | 93105-6206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth P Plummer | Psychologist, Clinical | 2827 Palomino Ridge Ln, Santa Barbara, CA 93105-2125 | |
| Paul L Cisek | Vascular Surgery | 2606 Foothill Rd, Santa Barbara, CA 93105-2151 | |
| Robert S Zylstra | Internal Medicine | 2945 Glen Albyn Dr, Santa Barbara, CA 93105-2219 | |
| Jeffrey R Bourne | Internal Medicine | 710 Las Canoas Pl, Santa Barbara, CA 93105-2362 | |
| Deborah C. Schiller | Psychologist, Clinical | 814 Willowglen Rd, Santa Barbara, CA 93105-2442 | |
| Diana Sharpe | Psychologist, Clinical | 425 Foxen Dr, Santa Barbara, CA 93105-2510 | |
| Giselle Loera | Physical Therapy | Aum Physical Therapy Inc | 3443 State St, Santa Barbara, CA 93105-2662 |
| Kristin Wise | Physical Therapy | Aum Physical Therapy Inc | 3443 State St, Santa Barbara, CA 93105-2662 |
| Phillip J Gomez | Physical Therapy | Aum Physical Therapy Inc | 3443 State St, Santa Barbara, CA 93105-2662 |
| Michael R Macy | Chiropractic | 3324 State St, Suite H, Santa Barbara, CA 93105-2673 | |
| Find all physicians in zip 93105 | |||
| City | SANTA BARBARA |
| Zip Code | 93105 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SANTA BARBARA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.