| Dr Jonathan Ralph Zucker, MD | |
|
351 S Patterson Ave, Goleta, CA 93111-2403 | |
| (805) 967-3411 | |
| Not Available |
| Full Name | Dr Jonathan Ralph Zucker |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 351 S Patterson Ave, Goleta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235103235 | NPI | - | NPPES |
| XPY202888 | Medicaid | CA | |
| 938285 | Medicaid | AZ | |
| 1770556037 | Medicaid | UT | |
| 100506093 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A39244 (California) | Primary |
| Entity Name | Ventura Anesthesia Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164465159 PECOS PAC ID: 0648260836 Enrollment ID: O20040518000863 |
| Entity Name | Ventura County Anesthesia Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679837645 PECOS PAC ID: 7113173543 Enrollment ID: O20120817000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Ralph Zucker, MD 315 Meigs Rd # A109, Santa Barbara, CA 93109-1900 Ph: (805) 451-4436 | Dr Jonathan Ralph Zucker, MD 351 S Patterson Ave, Goleta, CA 93111-2403 Ph: (805) 967-3411 |
Mr. Christopher D. Dale, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 351 S. Patterson Ave., Goleta, CA 93111 Phone: 805-967-6353 | |
Carl Greek Jr, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2251 Refugio Rd, Goleta, CA 93117 Phone: 805-685-6812 |