Basic Information
Provider Information
NPI: 1821135799
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PIRES
FirstName: DAVID
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3880
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931303880
CountryCode: US
TelephoneNumber: 8055630363
FaxNumber: 8055630364
Practice Location
Address1: 3045 DE LA VINA ST
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931053351
CountryCode: US
TelephoneNumber: 8055630363
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/31/2007
LastUpdateDate: 07/13/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X20A-9727CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LP2900X20A-9727CAY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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