Individual provider Active NPI

Jeffrey C Barrera

  • Dentist
  • Rancho Mission Viejo, CA
National Provider Identifier
1245625136
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40914 Issued in CA
Practice address
30901 Gateway PL # F5
Rancho Mission Viejo, CA 92694-1858
Phone
(949) 371-8533
Fax
(949) 449-8444
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40914 CA Primary

Addresses

Primary practice location

30901 Gateway PL # F5
Rancho Mission Viejo, CA 92694-1858

Mailing address

30901 Gateway PL Ste F5
Rancho Mission Viejo, CA 92694-1858
Phone (949) 371-8533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 4, 2019 through Apr 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40914CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey C. Barrera D.D.S. Inc. Dentist CurrentSince May 11, 2025 Accepting new patients
Jeffrey C. Barrera DDS Dentist CurrentSince Apr 20, 2025 Accepting new patients

Locations

29861 Santa Margarita Pkwy
Ste 200
Rancho Santa Margarita, CA 92688
Phone (714) 709-1900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1245625136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30901 GATEWAY PL STE F5",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941858",
            "telephone_number": "949-371-8533",
            "fax_number": "949-449-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30901 GATEWAY PL # F5",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941858",
            "telephone_number": "949-371-8533",
            "fax_number": "949-449-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.