Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW THOMAS SANTA BARBARA, M.D.
Active Sole ProprietorDR. MATTHEW THOMAS SANTA BARBARA, M.D. is a Sports Medicine (PM&R) healthcare provider located in DETROIT, Michigan. NPI 1306258322 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · DETROIT, MI
Registration Details
- NPI Number
- 1306258322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2014 (12.262701441224 yrs)
- Last Updated
- Jun 30, 2023
- Licenses
-
4301500305 (MI)4301500305 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2799 W GRAND BLVDDETROIT, MI, 482022608Browse MI providers · Browse ZIP 48202
- Phone
- 3139162181
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.