Individual provider Active NPI

Humberto Barragan, DO

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1033435300
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10994 Issued in CA
Practice address
220 E 13TH St
Merced, CA 95341-6250
Phone
(209) 383-3381
Fax
(209) 722-2025
NPI assigned
Apr 12, 2010
Last updated
Jul 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A10994 CA Primary

Addresses

Primary practice location

220 E 13TH St
Merced, CA 95341-6250

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149

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
I20101119000769 CA Practitioner - Family Practice 7911193693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merced Hospitalist Medical Group IncGroup PAC ID 5890948582, 38 clinicians

Practice addresses (Care Compare)

333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 564-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Improvement activities
40
Cost
81.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10994CAMDFamily Medicine Physician
10994CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Hospitalist Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients

Locations

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

Organizations & group practices 1

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1033435300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-725-7149",
            "fax_number": "209-726-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 13TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416250",
            "telephone_number": "209-383-3381",
            "fax_number": "209-722-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "HUMBERTO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.