Barry Shibuya MD Inc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A72682 Issued in CA

Legal business name

BARRY SHIBUYA MD INC

Practice address

3775 Beacon Ave
Suite 100
Fremont, CA 94538-1466

Phone

(510) 791-1300

Fax

(510) 791-1301

NPI assigned

Apr 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Barry Eiichi Shibuya, MD

Title

President

Phone

(510) 791-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Siok-Hian Tay-Kelley, NP

  • Adult Health Nurse Practitioner
  • Stanford, CA
  • NPI 1568766442
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1023070786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BEACON AVE",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381466",
            "telephone_number": "510-791-1300",
            "fax_number": "510-791-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BEACON AVE",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381466",
            "telephone_number": "510-791-1300",
            "fax_number": "510-791-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY SHIBUYA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "SHIBUYA",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "EIICHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-791-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A72682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A7268210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Barrera Morales
• Soyazhe Barrett-Hutcherson
• Gene Martin Barrie, MD
• Stacey Fitzsimmons Barrie, MD
• Kaiya Janae Barrow
• Melinda Barsuglia
• Steven Bartis, DPM
• Charles Dennis Barton Jr., M.D.
• Maria Elena Bartra Cortez, MS
• Noleen Barvilla, PT

• Rheumatology Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.