Sharon L Basham
Pain Medicine
2415 De La Vina St
Santa Barbara
, California 93105-3819
Sharon L Basham
Pain Medicine
2415 De La Vina St
Santa Barbara
, California 93105-3819
(805) 563-7671
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Sharon L Basham
- 3905 State St Ste 7-132
- Santa Barbara, CA
- Zip : 93105-3138
- Fax : (805) 563-7671
- Phone : (805) 689-5718
Second Address
- Sharon L Basham
- 2415 De La Vina St
- Santa Barbara, CA
- Zip : 93105-3819
- Phone : (805) 689-5718
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | A60091 | CA |
National Provider Identifier
| NPI | 1104842541 |
|---|---|
| Provider Name | Sharon L Basham |
| First Address | Santa Barbara, CA 93105-3138 |
| Second Address | Santa Barbara, CA 93105-3819 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2006 |
| Last Update Date | 26/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 250013397 | RR MEDICARE (01) | CA |
| G67070 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.