Individual provider Active NPI

Catherine Pearl Barker, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1306988167
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11742T Issued in CA
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SD0117420MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000696 CA Practitioner - Optometry 7517136385 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11742TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fifth Optometric Care of California Optometrist Current Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Sep 24, 2023 Accepting new patients
Fifth Optometric Care of California Optometrist CurrentSince Sep 24, 2023 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.

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

Verify at the official NPI Registry.