MRS. KATHRYN BETTY TADLOCK


Address: 504 W Pueblo St, Suite 202, Santa Barbara, CA 93105-6211
Phone: 8056826455

MRS. KATHRYN BETTY TADLOCK (NPI# 1851622740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851622740
Entity Type Individual
Full Name MRS. KATHRYN BETTY TADLOCK
Credential PA-C
Practice Address 504 W Pueblo St
Suite 202
Santa Barbara
CA 93105-6211
Mailing Address 2285 Corporate Cir
Ste 200
Henderson
NV 89074-7759
Practice Telephone 8056826455
Mailing Telephone 7023602763
Mailing Fax Number 9497832880
Enumeration Date 2010-01-17
Last Update Date 2020-04-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA21881 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 504 W PUEBLO ST
SUITE 202
City SANTA BARBARA
State CA
Zip Code 93105-6211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336140284 William K Brokken Dermatology 504 W Pueblo St, Ste 202, Santa Barbara, CA 93105-6211 2005-08-02
1376923722 Megan Tarrant Nurse Practitioner 504 W Pueblo St, Ste. 202, Santa Barbara, CA 93105-6211 2015-06-01
1700120243 Urology Specialists of Santa Barbara Urology 504 W Pueblo St, Suite 102, Santa Barbara, CA 93105-6211 2012-11-21
1881967172 Brett Andrew Gidney Medical Corporation Internal Medicine 504 W Pueblo St, Suite 101, Santa Barbara, CA 93105-6211 2012-02-16
1306119060 Frank R. Gamberdella, M.d., Inc Obstetrics & Gynecology 504 W Pueblo St, Suite 201, Santa Barbara, CA 93105-6211 2012-02-10
1093045833 Kim Phuong Lucy Nguyen-casey Physician Assistant 504 W Pueblo St, Suite 202, Santa Barbara, CA 93105-6211 2009-12-29
1073787875 Meghan Posch Nurse Practitioner 504 W Pueblo St, Suite 101, Santa Barbara, CA 93105-6211 2008-04-14
1184812976 Cary L Conyers, Md, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) 504 W Pueblo St, Suite 301, Santa Barbara, CA 93105-6211 2007-10-05
1831396720 Scott Baringer Tobis Urology 504 W Pueblo St, Suite 102, Santa Barbara, CA 93105-6211 2007-07-02
1891904728 Diana Marie Lambeth Marriage & Family Therapist 504 W Pueblo St, Suite 204, Santa Barbara, CA 93105-6211 2007-05-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831716307 Christopher Robert Ray Hyde Student in an Organized Health Care Education/Training Program Santa Barbara Cottage Hospital- Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2020-07-01
1023635562 Yana Gristan Student in an Organized Health Care Education/Training Program Santa Barbara Cottage Hospital - Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2020-07-01
1346867918 Neelima Archana Mohan Student in an Organized Health Care Education/Training Program Santa Barbara Cottage Hospital-medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2020-06-30
1861019358 Jerry Peng Jiang Student in an Organized Health Care Education/Training Program Santa Barbara Cottage Hospital -medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2020-06-30
1073153250 California Telemedicine Associates, P.C. Pediatrics 2830 Glendessary Lane, Santa Barbara, CA 93105 2020-01-15
1275190233 Paul Seo Student in an Organized Health Care Education/Training Program Sbch Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2019-05-24
1174009062 Hannah Wilks Kornfeld Student in an Organized Health Care Education/Training Program Sbch, Surgical Education, 400 W Pueblo Street, Santa Barbara, CA 93105 2018-07-14
1174010896 Thuthiri Thandar Lwin Student in an Organized Health Care Education/Training Program Sbch Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 2018-04-18
1649771056 Jeremy Middleton Student in an Organized Health Care Education/Training Program Sbch, Medical Education Office, 400 W Pueblo Street, Santa Barbara, CA 93105 2018-02-22
1720593502 Spencer E Price Radiology 400 W Pueblo St Dept Of, Santa Barbara, CA 93105 2017-12-03
Find all providers in zip 93105

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265091946 Christopher Wentling Physician Assistant 3006 Lomita Rd, Santa Barbara, CA 93105-3320 2019-06-06
1477036648 Theresa Flanagan Physician Assistant 724 Miramonte Dr, Santa Barbara, CA 93109-1423 2018-09-12
1679001721 Maira Alejandra Silva Physician Assistant 830 Alberta Ave, Santa Barbara, CA 93101-4702 2017-06-01
1821549569 Christopher Huntsman Physician Assistant 1755 Grand Ave, Santa Barbara, CA 93103-1920 2016-10-18
1033463930 Gregory David Leder Physician Assistant 3999 Via Lucero Apt A25, Santa Barbara, CA 93110-1682 2012-10-31
1952656019 Christopher Carl Mcconnell Physician Assistant Ucsb Student Health Building 588 M C 7002, Santa Barbara, CA 93106 2012-07-16
1669735981 Gabe Dudley Physician Assistant 400 West Pueblo Street, Santa Barbara, CA 93105 2012-06-21
1972823946 Karen Kaiulani Goyal Physician Assistant 2400 Bath St Ste 201, Santa Barbara, CA 93105-4351 2010-06-01
1184946154 Ali Evelyn Kunkel Physician Assistant 120 Barranca Ave Apt B, Santa Barbara, CA 93109-4203 2010-02-18
1164501649 Claire Elizabeth Wiswall Physician Assistant 2320 Bath St Ste 205, Santa Barbara, CA 93105-5313 2006-11-03
Find all providers in SANTA BARBARA

Competitor

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City SANTA BARBARA
Zip Code 93105

Improve Information

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Dataset Information

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.

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