Anna Laura Barragan

Individual provider Active NPI Athletic Trainer · King City, CA

NPI 1033755293 · NPPES record last updated Nov 22, 2019

Key facts

NPI: 1033755293
Entity type: Individual (NPI type 1)
Primary specialty: Athletic Trainer 2255A2300X
Practice address: 637 Broadway St
King City, CA 93930-3231
Phone: (831) 525-8181
NPI assigned: Nov 22, 2019
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Sun Street Centers Substance Abuse Rehabilitation Facility · King City, CA · NPI 1164904108

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Sun Street Centers		Past since Nov 24, 2019	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Athletic Trainer	2255A2300X			Yes

Addresses

Primary practice location

637 Broadway St
King City, CA 93930-3231

Mailing address

830 Prado Dr
Soledad, CA 93960-3309
Phone (831) 578-2155

Other identifiers

Identifier	Type	State	Issuer
B5876011	Other	CA	DRIVERS LICENSE
B5876011	Medicaid	CA

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	abarragan@sunstreet.org

Other providers in King City, CA

All providers in King City, CA · Athletic Trainer in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.