Katherine Barberis, AGACNP-BC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

95018032 Issued in CA

Practice address

11250 Warner Ave # 39
Fountain Valley, CA 92708-4116

Phone

(651) 442-8132

NPI assigned

Aug 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1073288437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 BONITA DR # 39",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493585",
            "telephone_number": "651-442-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 WARNER AVE # 39",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084116",
            "telephone_number": "651-442-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBERIS",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "95018032",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "95018032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "95018032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Baltazar, PT, DPT
• Michael C Bang, M.D.
• Khanh Ngoc Banh
• Natalie Minh Nguyet Banh
• Adriana Barber
• Paul Crispin Barkmeier, D.C.
• F. Todd Barnett, M.A.
• Analleli Barragan
• Veronica Amy Barrioekblom
• Andrea Ofelia Barron

• Cardiovascular Disease Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.