| Vituity | |
|
400 W Pueblo St Santa Barbara CA 93105-4353 | |
| (805) 682-7111 | |
| Not Available |
| Full Name | Vituity |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 400 W Pueblo St, Santa Barbara, California |
| Authorized Official Name and Position | Theophile Koury (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | Vituity 400 W Pueblo St Santa Barbara CA 93105-4353 Ph: (805) 682-7111 |
| NPI Number | 1225569346 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Medicare PECOS PAC ID | 3971871500 |
|---|---|
| Medicare Enrollment ID | O20170622001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225569346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Johanna L Rosenthal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881741247 PECOS PAC ID: 2769381318 Enrollment ID: I20040102000747 |
| Provider Name | Phillip Ralph Delio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255358156 PECOS PAC ID: 0749275386 Enrollment ID: I20040414001923 |
| Provider Name | Sergey E Akopov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669566147 PECOS PAC ID: 2264428929 Enrollment ID: I20040420001790 |
| Provider Name | Neal Prakash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568480838 PECOS PAC ID: 6103860184 Enrollment ID: I20050611000041 |
| Provider Name | Yafa Elham Minazad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982636122 PECOS PAC ID: 5799708905 Enrollment ID: I20060113000349 |
| Provider Name | Claudine G Dutaret |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053321612 PECOS PAC ID: 5496828030 Enrollment ID: I20080715000869 |
| Provider Name | Arbi G Ohanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982894606 PECOS PAC ID: 6800954223 Enrollment ID: I20081028000841 |
| Provider Name | Suman Kalanithi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922250240 PECOS PAC ID: 6901960749 Enrollment ID: I20090123000057 |
| Provider Name | Monika A Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922243401 PECOS PAC ID: 1759438039 Enrollment ID: I20090403000137 |
| Provider Name | Elias Emile Haddad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245568385 PECOS PAC ID: 9537298666 Enrollment ID: I20120201000384 |
| Provider Name | Glenn M Fischberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093784951 PECOS PAC ID: 1759398571 Enrollment ID: I20120629000448 |
| Provider Name | Adeel M Popalzai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558508663 PECOS PAC ID: 2365693926 Enrollment ID: I20121108000535 |
| Provider Name | Cori Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346523438 PECOS PAC ID: 9830363118 Enrollment ID: I20131119001746 |
| Provider Name | Janice Raquel Fuentes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053637918 PECOS PAC ID: 9830327063 Enrollment ID: I20140116000494 |
| Provider Name | Tyler Chi Han Cheung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790993590 PECOS PAC ID: 9234369240 Enrollment ID: I20140312001579 |
| Provider Name | Rony Dekermenjian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972766657 PECOS PAC ID: 1254564792 Enrollment ID: I20140507001123 |
| Provider Name | Mimi S Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164684973 PECOS PAC ID: 4587883475 Enrollment ID: I20140908001279 |
| Provider Name | Georgia Korbakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639499015 PECOS PAC ID: 9830318534 Enrollment ID: I20140911000397 |
| Provider Name | Branko N Huisa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063551000 PECOS PAC ID: 5698955250 Enrollment ID: I20150210001202 |
| Provider Name | Jaspreet K Mann |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003041054 PECOS PAC ID: 5395059034 Enrollment ID: I20150807015371 |
| Provider Name | Claudia A Munoz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831320068 PECOS PAC ID: 3274758990 Enrollment ID: I20150910002553 |
| Provider Name | Ashok J Dayananthan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902182512 PECOS PAC ID: 7719296086 Enrollment ID: I20151028000307 |
| Provider Name | Linnea R Chaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992115018 PECOS PAC ID: 2567765605 Enrollment ID: I20160122000968 |
| Provider Name | Rajan C Chopra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568605350 PECOS PAC ID: 7214177146 Enrollment ID: I20160308000501 |
| Provider Name | Dhrupad Joshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891103735 PECOS PAC ID: 7911299367 Enrollment ID: I20160706001008 |
| Provider Name | Christine Hessler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134495880 PECOS PAC ID: 4587956669 Enrollment ID: I20160711001233 |
| Provider Name | Peter Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306104633 PECOS PAC ID: 1153614714 Enrollment ID: I20160720001475 |
| Provider Name | Matthew Chow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487943122 PECOS PAC ID: 5294028510 Enrollment ID: I20160725002091 |
| Provider Name | Parissa I Vassef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356630370 PECOS PAC ID: 7810282563 Enrollment ID: I20160819002370 |
| Provider Name | Dela Amoussou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639464431 PECOS PAC ID: 0941441356 Enrollment ID: I20160907002758 |
| Provider Name | Fnu Alfandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316281314 PECOS PAC ID: 6800040866 Enrollment ID: I20160920002701 |
| Provider Name | Jessica Shin Choe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215194030 PECOS PAC ID: 3678857323 Enrollment ID: I20170224002268 |
| Provider Name | Kinjal Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679860290 PECOS PAC ID: 5294050951 Enrollment ID: I20170602001685 |
| Provider Name | Shawn Robert Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013465202 PECOS PAC ID: 3173892437 Enrollment ID: I20170630001137 |
| Provider Name | Veronica Louise Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386815355 PECOS PAC ID: 4688943848 Enrollment ID: I20170630001327 |
| Provider Name | Patti Ann Mccluskey-andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386710895 PECOS PAC ID: 1254600232 Enrollment ID: I20170706002913 |
| Provider Name | Eva Lene Sorensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215081427 PECOS PAC ID: 4385963180 Enrollment ID: I20170821001018 |
| Provider Name | Theresa A Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609398650 PECOS PAC ID: 0749553766 Enrollment ID: I20170913001188 |
| Provider Name | Paul Gadient |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295027076 PECOS PAC ID: 0749594901 Enrollment ID: I20170913003091 |
| Provider Name | Farrukh S. Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932249885 PECOS PAC ID: 2264320860 Enrollment ID: I20171030003382 |
| Provider Name | Karen Louise Secore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124076245 PECOS PAC ID: 5890719249 Enrollment ID: I20171215002452 |
| Provider Name | Ugo Paolucci |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265658793 PECOS PAC ID: 9032287040 Enrollment ID: I20180103000497 |
| Provider Name | Kristen Hudson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922392349 PECOS PAC ID: 2567778855 Enrollment ID: I20180110003254 |
| Provider Name | Lekhraj Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891752952 PECOS PAC ID: 7315972965 Enrollment ID: I20180430001045 |
| Provider Name | Divya Prabhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285921155 PECOS PAC ID: 6709141930 Enrollment ID: I20180517001623 |
| Provider Name | James Arthur Royster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174936454 PECOS PAC ID: 2264787787 Enrollment ID: I20180622002734 |
| Provider Name | Mishel Farasatpour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841533767 PECOS PAC ID: 6406105089 Enrollment ID: I20180814004278 |
| Provider Name | Catherine F Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124437868 PECOS PAC ID: 9234456047 Enrollment ID: I20180904000420 |
| Provider Name | Michael Cline |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801273743 PECOS PAC ID: 0648519488 Enrollment ID: I20190222000558 |
| Provider Name | Julian Duda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952716409 PECOS PAC ID: 5890081764 Enrollment ID: I20190226000495 |
| Provider Name | Latifa Boukarrou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366769317 PECOS PAC ID: 7416185723 Enrollment ID: I20190628001583 |
| Provider Name | Robert Julian Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265843437 PECOS PAC ID: 3375878473 Enrollment ID: I20190711002023 |
| Provider Name | Shahla Moghbel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639564651 PECOS PAC ID: 6507163599 Enrollment ID: I20191029001701 |
| Provider Name | Alla Al-habib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588900096 PECOS PAC ID: 1355627068 Enrollment ID: I20200310002826 |
| Provider Name | Michelle Rene Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497129340 PECOS PAC ID: 2961702949 Enrollment ID: I20200311002776 |
| Provider Name | Vikas Pandey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649598285 PECOS PAC ID: 1658689427 Enrollment ID: I20200402000710 |
| Provider Name | Sundeep Bojedla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184043051 PECOS PAC ID: 4385943406 Enrollment ID: I20200414001103 |
| Provider Name | Mohammad Reza Hajighasemi-ossareh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144683137 PECOS PAC ID: 1254762933 Enrollment ID: I20200513001018 |
| Provider Name | Robert Todd Riggio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952751331 PECOS PAC ID: 0345535670 Enrollment ID: I20200529002029 |
| Provider Name | Tyler T Leigh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952523482 PECOS PAC ID: 2365621083 Enrollment ID: I20200723000367 |
| Provider Name | Zi Chi Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275913923 PECOS PAC ID: 0749593945 Enrollment ID: I20200723000855 |
| Provider Name | Kirvia J Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033529235 PECOS PAC ID: 7719312131 Enrollment ID: I20200923001238 |
| Provider Name | Mohammad Sajed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396785127 PECOS PAC ID: 3577567528 Enrollment ID: I20201008003310 |
| Provider Name | Noor-e-ain Shahid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245627397 PECOS PAC ID: 8123317633 Enrollment ID: I20210215001247 |
| Provider Name | Rabia Yasin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417308651 PECOS PAC ID: 9133521305 Enrollment ID: I20210709002163 |
| Provider Name | Benjamin John Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871140772 PECOS PAC ID: 2466858626 Enrollment ID: I20210914000693 |
| Provider Name | Arnel Cadiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861168551 PECOS PAC ID: 1052702842 Enrollment ID: I20220105002325 |
| Provider Name | Ashley Deirdre Keener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770169526 PECOS PAC ID: 6002209889 Enrollment ID: I20220201000600 |
| Provider Name | Natalie Gray Kornbluth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902435431 PECOS PAC ID: 8729471347 Enrollment ID: I20220203000695 |
| Provider Name | Yuko Reus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780345280 PECOS PAC ID: 5890189500 Enrollment ID: I20220223000833 |
| Provider Name | Christian Swinney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093248775 PECOS PAC ID: 7315216181 Enrollment ID: I20220706003327 |
| Provider Name | Maryna Tarasenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730837659 PECOS PAC ID: 2466835541 Enrollment ID: I20220823001725 |
| Provider Name | Victor Lami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073969523 PECOS PAC ID: 4183055478 Enrollment ID: I20220908000699 |
| Provider Name | Concepcion Santillan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083647408 PECOS PAC ID: 2567402100 Enrollment ID: I20220915001256 |
| Provider Name | Stephanie Au Notley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528597242 PECOS PAC ID: 3678904562 Enrollment ID: I20220923002268 |
| Provider Name | Jeffry Ruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265753339 PECOS PAC ID: 8224278320 Enrollment ID: I20220928000088 |
| Provider Name | Shawn H Babur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083142913 PECOS PAC ID: 3678975356 Enrollment ID: I20221104000973 |
| Provider Name | Holly Diane Fyda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750844304 PECOS PAC ID: 7517334386 Enrollment ID: I20221108000982 |
| Provider Name | Hailey Michelle Hirschfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861106254 PECOS PAC ID: 5294107850 Enrollment ID: I20230207002979 |
| Provider Name | Franklyn Rocha Cabrero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912433947 PECOS PAC ID: 1759753957 Enrollment ID: I20230216002668 |
| Provider Name | Cynthia Elaine Garay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053929075 PECOS PAC ID: 0547665408 Enrollment ID: I20230412002378 |
| Provider Name | Santoshi Billakota |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174899512 PECOS PAC ID: 6406135623 Enrollment ID: I20230419002344 |
| Provider Name | Sushrut Dharmadhikari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831496942 PECOS PAC ID: 2264700236 Enrollment ID: I20230424002463 |
| Provider Name | Ahmad S Siddiqi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841532264 PECOS PAC ID: 5092065854 Enrollment ID: I20230502003027 |
| Provider Name | David Keith Canete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881382174 PECOS PAC ID: 2769840792 Enrollment ID: I20230622002308 |
| Provider Name | James Pabua Balbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326722679 PECOS PAC ID: 9638539570 Enrollment ID: I20230724002458 |
| Provider Name | Kyle Yuichi Ogami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801276571 PECOS PAC ID: 9638471626 Enrollment ID: I20230915002958 |
| Provider Name | Evan David Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821101742 PECOS PAC ID: 8426945643 Enrollment ID: I20230920001576 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20231020001424 |
| Provider Name | Sandeep Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053974345 PECOS PAC ID: 4082060801 Enrollment ID: I20231030002387 |
| Provider Name | Daniel Robert Kogan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871097444 PECOS PAC ID: 6901153519 Enrollment ID: I20231030002450 |
| Provider Name | Natalie Marie Thon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346605284 PECOS PAC ID: 2769787738 Enrollment ID: I20231212004076 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20240207003980 |
| Provider Name | Paul Lavin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922539139 PECOS PAC ID: 9133506991 Enrollment ID: I20240227004409 |
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