DR. DREE DAUGHERTY (NPI# 1043258544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043258544 |
| Entity Type | Individual |
| Full Name | DR. DREE DAUGHERTY |
| Credential | M.D. |
| Practice Address |
215 Pesetas Ln Santa Barbara CA 93110 |
| Mailing Address |
Po Box 62106 Santa Barbara CA 93160-2106 |
| Practice Telephone | 8056817800 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
G157533 | CA | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301057543 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | G157533 | 01 |
| MI | BC/BS | DD057543 | 01 |
| MI | 104266861 | 05 |
| Street Address |
215 PESETAS LN |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306836713 | Kenneth S Palley | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2005-10-26 |
| 1780235960 | Shiela Marie Marie Tungol-laffie | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2019-09-27 |
| 1639638026 | Lawrence Suarez | Pharmacist | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2019-03-15 |
| 1972079663 | Robert Richard Bauer | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-10-19 |
| 1235613480 | Leann Mclaughlin | Nurse Practitioner | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-09-23 |
| 1497237598 | Gabriella Apollonio | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-09-05 |
| 1558854984 | Kati Lynn Kenner | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-06-11 |
| 1487144747 | Krista Briana Blaustein | Physician Assistant | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2018-05-12 |
| 1609227453 | Caitlin Harris Hwang | Family Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110-1416 | 2016-06-23 |
| 1245693639 | Marie Claire Lamb | Internal Medicine | 215 Pesetas Ln, Santa Barbara, CA 93110 | 2016-04-01 |
| Find all providers in the same location | ||||
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
| 1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
| 1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
| 1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
| 1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
| 1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA BARBARA |
| Zip Code | 93110 |
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| 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.