Individual provider Active NPI

Abduselam Hussein Barre, MD

  • Family Medicine Physician
  • Paso Robles, CA
National Provider Identifier
1356542245
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G72745 Issued in CA
Practice address
2130 Heritage Loop Rd
Paso Robles, CA 93446-7800
Phone
(805) 296-7819
Fax
(805) 239-1279
NPI assigned
May 30, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 G72745 CA Primary

Addresses

Primary practice location

2130 Heritage Loop Rd
Paso Robles, CA 93446-7800

Mailing address

2130 Heritage Loop Rd
Paso Robles, CA 93446-7800
Phone (805) 296-7819

Other identifiers 1

IdentifierTypeStateIssuer
00G727450MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260619001892 NC Order and Referring Only - Family PracticePractitioner - Family Practice 3476607094

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Lakeside Home Medical ServicesGroup PAC ID 1850338054, 19 clinicians
Sutter Bay HospitalsGroup PAC ID 3476506528, shared by 23 NPIs, 45 clinicians

Practice addresses (Care Compare)

5176 Hill Rd E
Lakeport, CA 95453-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72745CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Regional Medical Group Inc CurrentSince Apr 30, 2024 Accepting new patients
Shasta Regional Medical Group, Inc Family Medicine CurrentSince Apr 30, 2024 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Molina Healthcare of California Past Accepting new patients

Locations

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

1850 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 251-5000

Interoperability endpoints

  • Direct secure messaging: abarre354483@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356542245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HERITAGE LOOP RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467800",
            "telephone_number": "805-296-7819",
            "fax_number": "805-239-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HERITAGE LOOP RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467800",
            "telephone_number": "805-296-7819",
            "fax_number": "805-239-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRE",
        "first_name": "ABDUSELAM",
        "middle_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G727450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.