Provider Demographics
NPI:1215921440
Name:FEUER, JOSHUA MAXWELL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MAXWELL
Last Name:FEUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 TIERRA CIELO LN
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2357
Mailing Address - Country:US
Mailing Address - Phone:805-963-0258
Mailing Address - Fax:
Practice Address - Street 1:61 TIERRA CIELO LN
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2357
Practice Address - Country:US
Practice Address - Phone:805-963-0258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50386207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G503860Medicaid
CAE55954Medicare UPIN
CA00G503860Medicaid