Individual provider Active NPI

Elizabeth Barrera, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • San Diego, CA
National Provider Identifier
1407286503
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
OP60560271 Issued in WA
Practice address
2525 Camino del Rio S Ste 107
San Diego, CA 92108-3718
Phone
(619) 202-5276
NPI assigned
Nov 26, 2013
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP60560271 WA
Addiction Medicine (Family Medicine) Physician 207QA0401X 13046 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X OP60560271 WA Primary

Addresses

Primary practice location

2525 Camino del Rio S Ste 107
San Diego, CA 92108-3718

Mailing address

806 Hilbert Dr
Fallbrook, CA 92028-1624
Phone (619) 202-5276

Other practice location 1

1502 Huntington Dr
South Pasadena, CA 91030-5417
Phone (619) 202-5276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250730002666 OR Practitioner - Family PracticePractitioner - Addiction Medicine 0547575672 Reassigns benefits to 1 organization
I20260311002422 TX Practitioner - Family PracticePractitioner - Addiction Medicine 0547575672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coquille Indian TribeGroup PAC ID 6002805330, 21 clinicians

Practice addresses (Care Compare)

630 Miluk Dr
Coos Bay, OR 97420-7728

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13046CAMDDental Hygienist
OP60560271WAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coquille Indian Tribe CurrentSince Jul 1, 2025 Accepting new patients
Kin Health & Wellness, SPC Current Accepting new patients

Locations

630 Miluk Dr
Coos Bay, OR 97420
Phone (541) 435-7039

2401 River Rd
Ste 101
Eugene, OR 97404
Phone (541) 344-8469

Interoperability endpoints

  • Direct secure messaging: ebarrera806634@direct.ochin.org

Organizations & group practices 2

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": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1407286503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HILBERT DR",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920281624",
            "telephone_number": "619-202-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083718",
            "telephone_number": "619-202-5276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 Huntington Dr",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910305417",
            "country_code": "US",
            "telephone_number": "619-202-5276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60560271",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "13046",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "OP60560271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.