Active NPI
Barry Swanson, P.A.
- Physician Assistant
- Corcoran, CA
National Provider Identifier
1396880324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 12789
- Practice address
- 1209 Whitley Ave
Corcoran, CA 93212-2327 - Phone
- (559) 899-2502
- Fax
- (559) 992-3997
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 12789 | CA | Primary |
Addresses
Primary practice location
1209 Whitley Ave
Corcoran, CA 93212-2327
Mailing address
PO Box 790
Parlier, CA 93648-0790
Phone (559) 876-6703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 12789 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1396880324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790",
"city": "PARLIER",
"state": "CA",
"postal_code": "936480790",
"telephone_number": "559-876-6703",
"fax_number": "559-876-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 WHITLEY AVE",
"city": "CORCORAN",
"state": "CA",
"postal_code": "932122327",
"telephone_number": "559-899-2502",
"fax_number": "559-992-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "BARRY",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 12789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corcoran, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.