Lizandro Barragan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1700 Keystone Pacific Pkwy Unit B
Patterson, CA 95363-8874

Phone

(209) 892-9100

NPI assigned

Feb 10, 2022

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: lizandro.barragan.1@20554.direct.athenahealth.com

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.

• Del Puerto Health Care District

  dba Del Puerto Health Center

  • Rural Health Clinic/Center
  • Patterson, CA
  • NPI 1063430916
  Medicare reassignment
• Doctors Medical Center of Modesto, Inc.

  dba Doctors Medical Center of Modesto

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  NPD (past)

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1275287963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10527 VILLA VIEW CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472599",
            "telephone_number": "209-607-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 KEYSTONE PACIFIC PKWY UNIT B",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638874",
            "telephone_number": "209-892-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "LIZANDRO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna H Arroyo
• Janet Avina
• Tomas Ayala Jr.
• Fatema Bandookwala, NP
• Isabel Barboza
• Vaishali Benaka Hebbar, MD
• Paul S. Berry, MD
• Bailey Marie Bielecki, LVN
• Victoire O Bongwele
• William Thomas Bragdon Jr., PHARM.D.

• Physician Assistant in Patterson, CA
• Providers in Patterson, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.