NPIMap

Organization Active NPI

Barry Shibuya MD Inc

  • Rheumatology Physician
  • Fremont, CA
National Provider Identifier
1023070786
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Dr. Barry Eiichi Shibuya, MDNPI 1275746935
Title
President
Phone
(510) 791-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X A72682 CA Primary

Addresses

Primary practice location

3775 Beacon Ave
Suite 100
Fremont, CA 94538-1466

Mailing address

3775 Beacon Ave
Suite 100
Fremont, CA 94538-1466
Phone (510) 791-1300

National Provider Directory

National Provider Directory

Locations

3775 Beacon Ave
Ste 100
Fremont, CA 94538
Phone (510) 449-5413

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • 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.