Individual provider Active NPI

Jason Anthony Barrett

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1023549102
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A186685 Issued in CA
Practice address
8836 S Vermont Ave
Los Angeles, CA 90044-4832
Phone
(323) 593-5300
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X A186685 CA
Addiction Psychiatry Physician 2084P0802X 0108777A IN
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X A186685 CA Primary

Addresses

Primary practice location

8836 S Vermont Ave
Los Angeles, CA 90044-4832

Mailing address

8836 S Vermont Ave
Los Angeles, CA 90044-4832

Other practice location 1

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone (323) 593-5300

Other practice location 2

2640 Industry Way
Lynwood, CA 90262-4284
Phone (310) 627-4525

Other practice location 3

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone (323) 751-3026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102000834 CA Practitioner - Psychiatry 7618242579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A186685CAMDPsychiatry Physician
0108777AINMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Treatment Centers, Inc CurrentSince Nov 19, 2023 Accepting new patients
Tarzana Treatment Centers, Inc. Current Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Nov 19, 2023 Accepting new patients
Southern California Health & Rehabilitation Program Past Accepting new patients
Southern California Health & Rehabilitation Program Past Accepting new patients

Locations

5190 Atlantic Ave
Long Beach, CA 90805
Phone (562) 428-4111

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/scharpca/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1023549102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8836 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444832",
            "telephone_number": "323-593-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 Crenshaw Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900081821",
            "country_code": "US",
            "telephone_number": "323-593-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2640 Industry Way",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902624284",
            "country_code": "US",
            "telephone_number": "310-627-4525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 Crenshaw Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900081821",
            "country_code": "US",
            "telephone_number": "323-751-3026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "JASON",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A186685",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "IN",
            "license": "0108777A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A186685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.