Active NPI
Ivan Stephen Baroya, M.D.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1417990243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A66801
- Practice address
- 11858 Bernardo Plaza CT Ste 210
San Diego, CA 92128-2411 - Phone
- (619) 622-6916
- Fax
- (951) 303-6588
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A66801 | CA | Primary |
Addresses
Primary practice location
11858 Bernardo Plaza CT Ste 210
San Diego, CA 92128-2411
Mailing address
PO Box 1770
La Mesa, CA 91944-1770
Phone (619) 622-6916
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66801 | CA | MD | Clinical Social Worker |
| A66801 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1417990243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1770",
"city": "LA MESA",
"state": "CA",
"postal_code": "919441770",
"telephone_number": "619-622-6916",
"fax_number": "951-303-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11858 BERNARDO PLAZA CT STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282411",
"telephone_number": "619-622-6916",
"fax_number": "951-303-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAROYA",
"first_name": "IVAN",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A66801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.