1144498023 NPI number — DR. SALVATORE ANTHONY GAROFALO DPM

Table of content: DR. SALVATORE ANTHONY GAROFALO DPM (NPI 1144498023)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144498023 NPI number — DR. SALVATORE ANTHONY GAROFALO DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GAROFALO
Provider First Name:
SALVATORE
Provider Middle Name:
ANTHONY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144498023
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1206
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GOLETA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93116-1206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-964-3838
Provider Business Mailing Address Fax Number:
805-683-3400

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
122 S PATTERSON AVE STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111-4017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-3541
Provider Business Practice Location Address Fax Number:
805-964-6461
Provider Enumeration Date:
02/13/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  E4759 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)