Individual provider Active NPI

Christopher Barajas

  • Audiologist
  • Twentynine Palms, CA
National Provider Identifier
1093538597
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA15557 Issued in AZ
Practice address
1145 Sturgis Road
Twentynine Palms, CA 92278
Phone
(760) 830-2190
NPI assigned
Nov 4, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA15557 AZ Primary

Addresses

Primary practice location

1145 Sturgis Road
Twentynine Palms, CA 92278

Mailing address

1145 Sturgis Road
Twentynine Palms, CA 92278-8275
Phone (760) 830-2117

Other practice location 1

1 Administration Cir
Ridgecrest, CA 93555-6104
Phone (760) 939-9030

Other practice location 2

1591 Griffin Road
Twentynine Palms, CA 92278
Phone (760) 830-7054

Other practice location 3

HC 83 Box 1
Bridgeport, CA 93517-9802
Phone (760) 932-1616

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DA15557AZMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1093538597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 STURGIS ROAD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922788275",
            "telephone_number": "760-830-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 STURGIS ROAD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92278",
            "telephone_number": "760-830-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Administration Cir",
            "address_purpose": "LOCATION",
            "city": "Ridgecrest",
            "state": "CA",
            "postal_code": "935556104",
            "country_code": "US",
            "telephone_number": "760-939-9030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1591 Griffin Road",
            "address_purpose": "LOCATION",
            "city": "Twentynine Palms",
            "state": "CA",
            "postal_code": "92278",
            "country_code": "US",
            "telephone_number": "760-830-7054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "HC 83 Box 1",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CA",
            "postal_code": "935179802",
            "country_code": "US",
            "telephone_number": "760-932-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAJAS",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA15557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.