Daniel Christian Barry, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

54430 Issued in CA

Practice address

209 Nevada Street
Downieville, CA 95935-0286

Phone

(530) 289-3298

Fax

(530) 289-3159

NPI assigned

Nov 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Sierra Medical Clinic IncGroup PAC ID 3971571217, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.barry@wsmc1.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Western Sierra Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • Downieville, CA
  • NPI 1851513469
  Medicare reassignment Care Compare group
• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Medicare reassignment NPD
• Urgent Care of Idaho, LLC

  • Urgent Care Clinic/Center
  • Jerome, ID
  • NPI 1538578687
  Medicare reassignment NPD
• River View Urgent Care & Medical Center Inc

  • Urgent Care Clinic/Center
  • Burley, ID
  • NPI 1790043693
  Medicare reassignment
• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oregon House, CA
  • NPI 1780463257
  NPD
• North Canyon Medical Center, Inc.

  • Radiology Clinic/Center
  • Twin Falls, ID
  • NPI 1700641636
  NPD
• Urgent Care of Idaho, LLC

  • Urgent Care Clinic/Center
  • Burley, ID
  • NPI 1841972122
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• St Luke'S Magic Valley Regional Medical Center LTD

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sierra Nevada Memorial-Miners Hospital

  • General Acute Care Hospital
  • Grass Valley, CA
  • NPI 1659361392
  Care Compare affiliation

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1023413085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "DOWNIEVILLE",
            "state": "CA",
            "postal_code": "959360286",
            "telephone_number": "530-289-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NEVADA STREET",
            "city": "DOWNIEVILLE",
            "state": "CA",
            "postal_code": "959350286",
            "telephone_number": "530-289-3298",
            "fax_number": "530-289-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "DANIEL",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-01",
        "last_updated": "2021-06-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA1199",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "54430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina J Dorn
• Downieville Fire Protection District
• Hiroyasu Hataoka, DDS
• Lynn Marie Jakobs, NURSE PRACTITIONER
• Frank John Lang, N.P.

• Medical Physician Assistant in Downieville, CA
• Providers in Downieville, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.