Active NPI
George Barakat, M.D.
- Orthopaedic Surgery Physician
- Susanville, CA
National Provider Identifier
1437131067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G42411
- Practice address
- 555 Ash St
Susanville, CA 96130-3711 - Phone
- (530) 257-9060
- Fax
- (530) 257-9384
- NPI assigned
- Nov 18, 2005
- Last updated
- Mar 24, 2008
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G42411 | CA | Primary |
Addresses
Primary practice location
555 Ash St
Susanville, CA 96130-3711
Mailing address
555 Ash St
Susanville, CA 96130-3711
Phone (530) 257-9060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G424110 | Medicaid | CA |
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 |
|---|---|---|---|
| G42411 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Lassen Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Susanville, CA
- NPI 1538197231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1437131067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 ASH ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303711",
"telephone_number": "530-257-9060",
"fax_number": "530-257-9384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 ASH ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303711",
"telephone_number": "530-257-9060",
"fax_number": "530-257-9384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAKAT",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G42411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G424110",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.