Active NPI
Catherine Pearl Barker, O.D.
- Optometrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11742T
- Practice address
- 11777 San Vicente Blvd Ste 130
Los Angeles, CA 90049-6623 - Phone
- (310) 820-2020
- Fax
- (310) 820-1884
- NPI assigned
- Feb 12, 2007
- Last updated
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11742T | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 11742T | CA |
Addresses
Primary practice location
11777 San Vicente Blvd Ste 130
Los Angeles, CA 90049-6623
Mailing address
11777 San Vicente Blvd Ste 130
Los Angeles, CA 90049-6623
Phone (310) 820-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0117420 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11742T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Paul J Super OD a Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
4783 Commons Way
Ste C
Calabasas, CA 91302
Phone (818) 222-9465
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
Organizations & group practices 5
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.
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- NPI 1982881504
-
dba Taft Eye Care Optometric Center
- Optometrist
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- NPI 1699504746
-
- Optometrist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262217600000",
"number": "1306988167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11777 SAN VICENTE BLVD STE 130",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496623",
"telephone_number": "310-820-2020",
"fax_number": "310-820-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11777 SAN VICENTE BLVD STE 130",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496623",
"telephone_number": "310-820-2020",
"fax_number": "310-820-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "CATHERINE",
"middle_name": "PEARL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2009-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11742T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "11742T",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0117420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.