Damian Barrios, BA
Individual provider Active NPI Rehabilitation Practitioner · Crestline, CA
NPI 1174351969 · NPPES record last updated Apr 7, 2025
Key facts
- NPI
- 1174351969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 24028 Lake Dr
PO Box 4666
Crestline, CA 92325 - Phone
- (909) 338-3222
- NPI assigned
- Jul 23, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Community Health Worker | 172V00000X | |||
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
24028 Lake Dr
PO Box 4666
Crestline, CA 92325
Mailing address
PO Box 1831
Blue Jay, CA 92317-1831
Phone (909) 522-0405
Other practice location 1
PO Box 4666
Blue Jay, CA 92317
Phone (909) 338-3222
Other providers in Crestline, CA
- Anita Louise Alcorn
- Allison H Almaraz
- Monica Rebecca Armijo
- Roberta G Bannister
- Sheena Rae Barcenas
- Michael Beavers
- Jill E. Bertelli
- Andrea N Bordelon
- Rhonda Boss
- Walter David Bramson
All providers in Crestline, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2025. 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.