Individual provider Active NPI

Marita Q. Barlahan-Biag, M.D.

  • Specialist
  • Gold River, CA
National Provider Identifier
1124097837
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A67369 Issued in CA
Practice address
11200 Gold Express Dr
Suite D
Gold River, CA 95670-4400
Phone
(916) 638-0600
Fax
(916) 638-0602
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A67369 CA Primary

Addresses

Primary practice location

11200 Gold Express Dr
Suite D
Gold River, CA 95670-4400

Mailing address

11200 Gold Express Dr
Suite D
Gold River, CA 95670-4400
Phone (916) 638-0600

Other identifiers 2

IdentifierTypeStateIssuer
A67369OtherCASTATE LICENSE NUMBER
00A673690MedicaidCA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A67369CAMDSpecialist

Interoperability endpoints

  • Direct secure messaging: barlahan-biag.marita.001.0050256@btp.meditab.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1124097837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 GOLD EXPRESS DR",
            "address_2": "SUITE D",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704400",
            "telephone_number": "916-638-0600",
            "fax_number": "916-638-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOLD EXPRESS DR",
            "address_2": "SUITE D",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704400",
            "telephone_number": "916-638-0600",
            "fax_number": "916-638-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLAHAN-BIAG",
        "first_name": "MARITA",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A67369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A67369",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A673690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold River, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.