NPIMap

Individual provider Active NPI

Mayline Michelle Nambela-Barlow, MD

  • Family Medicine Physician
  • Sonora, CA
National Provider Identifier
1245734136
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A166602 Issued in CA
Practice address
900 Mono Way
Sonora, CA 95370-5229
Phone
(209) 536-6925
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A166602 CA Primary

Addresses

Primary practice location

900 Mono Way
Sonora, CA 95370-5229

Mailing address

900 Mono Way
Sonora, CA 95370-5229
Phone (209) 536-6925

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CORHIO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008002916 CA Practitioner - Family Practice 3173921830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

900 Mono Way
Sonora, CA 95370-5229
Phone (209) 536-6940

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Sonora, CA, CCN 557561
  • Careone Home Health and Hospice, Inc Home health agency, Salida, CA, CCN 059401
  • Atta Home Healthcare Home health agency, Modesto, CA, CCN 559552
  • Adventist Health Home Care Services Hospice, Sonora, CA, CCN 051609
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions47
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Community Health Center Inc CurrentSince Sep 6, 2021 Accepting new patients
Sonora Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Pueblo Community Health Center Inc CurrentSince Sep 6, 2021 Accepting new patients
Sonora Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
Sonora Community Hospital Family Medicine Past Accepting new patients

Locations

193 Fairview Ln
Ste L
Sonora, CA 95370
Phone (209) 536-3720

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6925

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

Organizations & group practices 6

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

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1245734136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705229",
            "telephone_number": "209-536-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705229",
            "telephone_number": "209-536-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBELA-BARLOW",
        "first_name": "MAYLINE",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A166602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CORHIO",
            "affiliation": "N",
            "address_1": "1302 E 5th St",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810013754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.