Individual
JEROLD A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 HITCHCOCK WAY, SANTA BARBARA, CA 93105-3101
(805) 563-6211
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1761
(805) 681-1768
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A76157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A761570
—
CA
Enumeration date
08/19/2006
Last updated
10/21/2025
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