Active NPI
Lara Barth, FNP
- Family Medicine Physician
- Novato, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95015201
- Practice address
- 6100 Redwood Blvd
Novato, CA 94945-4501 - Phone
- (415) 448-1500
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 95015201 | CA | Primary |
Addresses
Primary practice location
6100 Redwood Blvd
Novato, CA 94945-4501
Mailing address
1145 Virginia St
Berkeley, CA 94702-1341
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260313000281 | CA | Practitioner - Nurse Practitioner | 1951710763 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 National Dr
Suite 135
Sacramento, CA 95834-1947
375 Laguna Honda Blvd
B200
San Francisco, CA 94116-1411
PO Box
Los Angeles, CA 90074
Hospital & facility affiliations
- Zuckerberg San Francisco General Hosp & Trauma Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015201 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Family Medicine | Current | Accepting new patients |
| University of California SFGH Medical Group | Current | Accepting new patients |
Locations
1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
Interoperability endpoints
- lara.barth.1@25843.direct.athenahealth.com
- lbarth584836@direct.ochin.org
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.
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
CA
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174598296
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1083648810
Hospital
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1164609962
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1023607397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 VIRGINIA ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947021341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 REDWOOD BLVD",
"city": "NOVATO",
"state": "CA",
"postal_code": "949454501",
"telephone_number": "415-448-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTH",
"first_name": "LARA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "95015201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.