| Jeffrey Bourne D O Medical Corporation | |
| 
					710 Las Canoas Pl Santa Barbara CA 93105-2362  | |
| (805) 391-3268 | |
| (805) 434-3209 | 
| Full Name | Jeffrey Bourne D O Medical Corporation | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 710 Las Canoas Pl, Santa Barbara, California | 
| Authorized Official Name and Position | Jeffrey Bourne (PRESIDENT) | 
| Authorized Official Contact | 8053913268 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeffrey Bourne D O Medical Corporation Po Box 148 Templeton CA 93465-0148 Ph: (805) 391-3268  | Jeffrey Bourne D O Medical Corporation 710 Las Canoas Pl Santa Barbara CA 93105-2362 Ph: (805) 391-3268  | 
| NPI Number | 1235447491 | 
|---|---|
| Provider Enumeration Date | 09/21/2010 | 
| Last Update Date | 04/26/2019 | 
| Medicare PECOS PAC ID | 7315120425 | 
|---|---|
| Medicare Enrollment ID | O20110328000589 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235447491 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A7050 (California) | Primary | 
| Provider Name | Jeffrey R Bourne | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1144325754 PECOS PAC ID: 6204019318 Enrollment ID: I20110613000800  | 
Allen J Thomashefsky, Md, A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Bath St Ste 301, Santa Barbara, CA 93105 Phone: 805-962-2662 Fax: 805-569-5670  | |
Recovery Road Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 State Street, Santa Barbara, CA 93101 Phone: 805-962-7800 Fax: 805-962-9002  | |
Milpas Medical Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 N Milpas St, Santa Barbara, CA 93103 Phone: 805-965-8284 Fax: 805-962-0429  | |
Jeffrey R. Polito M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 334 S Patterson Ave, Santa Barbara, CA 93111 Phone: 805-681-1490 Fax: 805-681-1593  | |
Gary M Van Deventer Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Pueblo St, Suite B, Santa Barbara, CA 93105 Phone: 805-563-0024 Fax: 805-563-1454  | |
Deleys Brandman Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2830 Glendessary Ln, Santa Barbara, CA 93105 Phone: 415-819-3138  | |
Santa Barbara Neighborhood Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 N Milpas St, Santa Barbara, CA 93103 Phone: 805-963-1641 Fax: 805-962-6616  |