Active NPI
Marita Q. Barlahan-Biag, M.D.
- Specialist
- Gold River, CA
National Provider Identifier
1124097837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A67369
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A67369 | Other | CA | STATE LICENSE NUMBER |
| 00A673690 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A67369 | CA | MD | Specialist |
Interoperability endpoints
- 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.