Provider Demographics
NPI:1154512986
Name:FISHER, SEAN G (PA)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:G
Last Name:FISHER
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:592 N HOPE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1570
Mailing Address - Country:US
Mailing Address - Phone:805-680-9809
Mailing Address - Fax:
Practice Address - Street 1:2323 OAK PARK LN STE 202
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4276
Practice Address - Country:US
Practice Address - Phone:805-892-8111
Practice Address - Fax:805-892-8444
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA 19288363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1154512986Medicare NSC