Basic Information
Provider Information
NPI: 1841403805
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FURTADO
FirstName: CLAUDIA
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 245 ARBOLEDA RD
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931101703
CountryCode: US
TelephoneNumber: 8587367571
FaxNumber:  
Practice Location
Address1: 1425 S MAIN ST
Address2:  
City: WALNUT CREEK
State: CA
PostalCode: 945965318
CountryCode: US
TelephoneNumber: 8056827111
FaxNumber: 8056820793
Other Information
ProviderEnumerationDate: 05/07/2007
LastUpdateDate: 01/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XA93607CAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
P0082635301CARAILROADOTHER


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